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OVER THE MOON PEDIATRICS, PLLC
NPI 1104462753
Pediatrics in The Woodlands, TX

Active since November 19, 2019CLIA 45D2191896 · Waiver
17189 I-45 SOUTH, SUITE 235, THE WOODLANDS, TX 77385(832) 539-7532(888) 450-0782 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2022, Mar 21, 2020, Nov 19, 2019 (3 updates tracked since 2019).

About Over The Moon Pediatrics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OVER THE MOON PEDIATRICS, PLLC (NPI 1104462753) is a healthcare organization registered as a pediatrics in The Woodlands, Texas and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Michelle Angeline Suhendra, Owner, as its authorized official.

NPPES Registry Identity

NPI1104462753
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOVER THE MOON PEDIATRICS, PLLC
Location Address17189 I-45 SOUTH, SUITE 235The Woodlands, TX 77385
Mailing Address17189 I-45 South, Suite 235The Woodlands, TX 77385-4793 · (832) 539-7532 · Fax (832) 336-3809
Phone(832) 539-7532
Fax(888) 450-0782
Organization SubpartNo
Authorized OfficialMichelle Angeline SuhendraOwner · (832) 640-8382
Enumeration DateNovember 19, 2019
Last NPPES UpdateMay 17, 20223 updates tracked since enumeration
NPPES CertifiedMay 15, 2022
✔ NPI 1104462753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17189 I-45 SOUTH, The Woodlands, TX 77385
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2191896

Over The Moon Pediatrics, PLLC · The Woodlands, TX
Active · expires Sep 1, 2026
CLIA Number45D2191896
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorMichelle A. Suhendra
Laboratory Phone(832) 539-7532
Laboratory LocationOver The Moon Pediatrics, PLLC17189 I-45 South Suite 235, The Woodlands, TX 77385
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Over The Moon Pediatrics, PLLC's NPI number?

The NPI number for Over The Moon Pediatrics, PLLC is 1104462753. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Over The Moon Pediatrics, PLLC located?

Over The Moon Pediatrics, PLLC is located at 17189 I-45 South Suite 235, The Woodlands, TX 77385. The listed phone number is (832) 539-7532.

What is Over The Moon Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Over The Moon Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2191896) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Over The Moon Pediatrics, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Over The Moon Pediatrics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Over The Moon Pediatrics, PLLC was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.