KINDBODY OF TX MEDICAL PRACTICE
NPI 1083295638
Clinic/Center - Ambulatory Fertility Facility in Austin, TX
NPI Status: Active since April 15, 2021
Contact Information
100 COLORADO ST
AUSTIN, TX
ZIP 78701
Phone: (855) 563-2639
- Organization
- Clinic/Center
- Ambulatory Fertility Facility
- Accepts Insurance
- CLIA Number: 45D2268962
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2027
About KINDBODY OF TX MEDICAL PRACTICE
This page provides the complete NPI Profile along with additional information for Kindbody Of Tx Medical Practice, a provider established in Austin, Texas operating as a Clinic/center, focusing in ambulatory fertility facility . The healthcare provider is registered in the NPI registry with number 1083295638 assigned on April 2021. The practitioner's primary taxonomy code is 261QA0006X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Kindbody Of Tx Medical Practice. The authorized official of this NPI record is Fahimeh Sasan Do (Founding Obgyn)
- NPI
- 1083295638
- Provider Legal Name
- PEACH STATE MEDICAL PRACTICE, PC
- Other Organization Name
- KINDBODY OF TX MEDICAL PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 COLORADO ST AUSTIN, TX 78701
- Location Phone
- (855) 563-2639
- Mailing Address
- 333 S DESPLAINES ST STE 201 CHICAGO, IL 60661
- Mailing Phone
- (855) 563-2639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-15-2021
- Last Update Date
- 05-20-2024
- Code Navigator
Location Map
Secondary Locations
- 1111 Uptown Park Blvd Ste 2
Houston, TX 77056
(281) 719-9355 - 8041 Walnut Hill Ln Ste 870
Dallas, TX 75231
(214) 295-7712
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Fertility Facility
- Taxonomy Code
- 261QA0006X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2268962
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2025
- Certificate Expiration Date
- October 31, 2027
- Laboratory Director
- DR. HAROLD F. RODRIGUEZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kindbody Of Tx Medical Practice on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083295638, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083295638, enumerated as an "organization" on April 15, 2021.
The provider is located at 100 COLORADO ST AUSTIN, TX 78701 and the phone number is (855) 563-2639.
Clinic/Center with taxonomy code 261QA0006X and a focus in Ambulatory Fertility Facility.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Moda. Please consult your insurance carrier or call the provider to verify.
