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STAR PEDIATRIC GROUP
NPI 1174008692
Pediatrics in Lewisville, TX

Active since October 01, 2018CLIA 45D2163784 · Waiver
541 W MAIN ST # 110, LEWISVILLE, TX 75057(718) 578-7866 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2019, Oct 2, 2018 (2 updates tracked since 2018).

About Star Pediatric Group NPPES

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

STAR PEDIATRIC GROUP (NPI 1174008692) is a healthcare organization registered as a pediatrics in Lewisville, Texas and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Afser Tasneem, Partner, as its authorized official.

NPPES Registry Identity

NPI1174008692
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTAR PEDIATRIC GROUP PLLC
Location Address541 W MAIN ST # 110Lewisville, TX 75057-3628
Mailing AddressPo Box 3888Coppell, TX 75019-4310 · (718) 578-7866
Phone(718) 578-7866
Organization SubpartNo
Authorized OfficialAfser TasneemPartner · (718) 578-7866
Enumeration DateOctober 1, 2018
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
✔ NPI 1174008692 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.
541 W MAIN ST # 110, Lewisville, TX 75057
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Other Names 1

Doing Business AsStar Pediatric Group

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 45D2163784

Star Pediatric Group · Lewisville, TX
Active · expires Mar 20, 2027
CLIA Number45D2163784
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorSindhu E. Philip
Laboratory Phone(469) 293-8561
Laboratory LocationStar Pediatric Group541 W Main St Suite 110, Lewisville, TX 75057
CLIA data matches this NPI record on: Name
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 Star Pediatric Group PLLC's NPI number?

The NPI number for Star Pediatric Group PLLC is 1174008692. It was assigned to this organization in the NPPES registry on October 1, 2018. The provider is doing business as Star Pediatric Group.

Where is Star Pediatric Group PLLC located?

Star Pediatric Group PLLC is located at 541 W Main St # 110, Lewisville, TX 75057. The listed phone number is (718) 578-7866.

What is Star Pediatric Group PLLC's specialty?

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

Does Star Pediatric Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2163784) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Star Pediatric Group 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 and 1 other insurer list Star Pediatric Group 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 Star Pediatric Group PLLC was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.