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

Q: What is Kidsville Pediatrics Mansfield's NPI number?

The NPI number for Kidsville Pediatrics Mansfield is 1154262889. It was assigned to this organization in the NPPES registry on April 6, 2026.

Q: What is Kidsville Pediatrics Mansfield's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since April 06, 2026CLIA 45D2217341 · Waiver

1759 BROAD PARK CIR S STE 205, MANSFIELD, TX 76063(682) 341-3910(682) 400-1288 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kidsville Pediatrics Mansfield NPPES

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

KIDSVILLE PEDIATRICS MANSFIELD (NPI 1154262889) is a healthcare organization registered as a pediatric critical care medicine in Mansfield, Texas and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Omar Ashour, Manager, as its authorized official.

NPPES Registry Identity

NPI1154262889

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameKIDSVILLE PEDIATRICS MANSFIELD

Location Address1759 BROAD PARK CIR S STE 205Mansfield, TX 76063-7834

Mailing Address1759 Broad Park Cir S Ste 205Mansfield, TX 76063-7834 · (682) 341-3910 · Fax (682) 400-1288

Phone(682) 341-3910

Fax(682) 400-1288

Organization SubpartNo

Authorized OfficialOmar AshourManager · (682) 232-4017

Enumeration DateApril 6, 2026

NPPES CertifiedApril 5, 2026

✔ NPI 1154262889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

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.

1759 BROAD PARK CIR S STE 205, Mansfield, TX 76063

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D2217341

Kidsville Pediatrics, PLLC · Mansfield, TX

Active · expires Mar 18, 2027

CLIA Number45D2217341

Laboratory TypePhysician Office

Certificate Effective DateMarch 19, 2025

Certificate Expiration DateMarch 18, 2027

Laboratory DirectorNaureen W. Ameen

Laboratory Phone(682) 341-3910

Laboratory LocationKidsville Pediatrics, PLLC1759 Broad Park Cir S Suite 201, Mansfield, TX 76063

CLIA data matches this NPI record on: 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 Kidsville Pediatrics Mansfield's NPI number?

The NPI number for Kidsville Pediatrics Mansfield is 1154262889. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Kidsville Pediatrics Mansfield located?

Kidsville Pediatrics Mansfield is located at 1759 Broad Park Cir S Ste 205, Mansfield, TX 76063. The listed phone number is (682) 341-3910.

What is Kidsville Pediatrics Mansfield's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Does Kidsville Pediatrics Mansfield hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2217341) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kidsville Pediatrics Mansfield was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.