KIDSVILLE PEDIATRICS MANSFIELD
NPI 1154262889
Pediatrics - Pediatric Critical Care Medicine in Mansfield, TX

NPI Status: Active since April 06, 2026

Contact Information

1759 BROAD PARK CIR S STE 205
MANSFIELD, TX
ZIP 76063
Phone: (682) 341-3910
Fax: (682) 400-1288

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  • Organization
  • Pediatrics
  • Pediatric Critical Care Medicine
  • CLIA Number: 45D2217341
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2027

About KIDSVILLE PEDIATRICS MANSFIELD

This page provides the complete NPI Profile along with additional information for Kidsville Pediatrics Mansfield, a pediatrician established in Mansfield, Texas operating as a Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1154262889 assigned on April 2026. The practitioner's primary taxonomy code is 2080P0203X. The provider is registered as an organization and their NPI record was last updated April 2026. Kidsville Pediatrics Mansfield operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Omar Ashour Md (Manager)

NPI
1154262889
Provider Name
KIDSVILLE PEDIATRICS MANSFIELD
Entity Type
Organization
Location Address
1759 BROAD PARK CIR S STE 205 MANSFIELD, TX 76063
Location Phone
(682) 341-3910
Location Fax
(682) 400-1288
Mailing Address
1759 BROAD PARK CIR S STE 205 MANSFIELD, TX 76063
Mailing Phone
(682) 341-3910
Mailing Fax
(682) 400-1288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2026
Last Update Date
04-06-2026
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A pediatrician like Kidsville Pediatrics Mansfield is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Pediatric Critical Care Medicine

Taxonomy Code
2080P0203X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. OMAR ASHOUR MD

Authorized Official Title
MANAGER
Authorized Official Phone
(682) 232-4017

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
45D2217341
Facility Type
Physician Office
Certificate Effective Date
March 19, 2025
Certificate Expiration Date
March 18, 2027
Laboratory Director
NAUREEN W. AMEEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kidsville Pediatrics Mansfield to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1154262889, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 2 → 4 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 4 + 6 + 4 + 8 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1154262889.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154262889, enumerated as an "organization" on April 06, 2026.

The provider is located at 1759 BROAD PARK CIR S STE 205 MANSFIELD, TX 76063 and the phone number is (682) 341-3910.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.