COASTAL BEND KIDS CLINIC P.A.
NPI 1174647788
Pediatrics in Kingsville, TX
About Coastal Bend Kids Clinic P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL BEND KIDS CLINIC P.A. (NPI 1174647788) is a healthcare organization registered as a pediatrics in Kingsville, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Anil C Patel, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Bend Kids Clinic P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Bend Kids Clinic P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 45D0982921
Coastal Bend Kids Clinic · Kingsville, TXFrequently 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 Coastal Bend Kids Clinic P.A.'s NPI number?
The NPI number for Coastal Bend Kids Clinic P.A. is 1174647788. It was assigned to this organization in the NPPES registry on March 19, 2007.
Where is Coastal Bend Kids Clinic P.A. located?
Coastal Bend Kids Clinic P.A. is located at 1018 S 14th Street, Kingsville, TX 78363. The listed phone number is (361) 592-0223.
What is Coastal Bend Kids Clinic P.A.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Coastal Bend Kids Clinic P.A. enrolled in Medicare?
Yes. Coastal Bend Kids Clinic P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Bend Kids Clinic P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Coastal Bend Kids Clinic P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Bend Kids Clinic P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0982921) is associated with this NPI, valid through February 7, 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 Coastal Bend Kids Clinic P.A. was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Coastal Bend Kids Clinic P.a. · NPI 1174647788
Pediatrics organization in Kingsville, Texas. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1174647788 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Anil Patel, PRESIDENT
## Practice location
- **Address:** 1018 S 14TH STREET, Kingsville, TX 78363
- **Phone:** (361) 592-0223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2016
- **Other identifiers:** Medicare UPIN G57953
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174647788) · Data from the CMS NPPES public registry.