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DELL RANGE PEDIATRICS
NPI 1205386281
Pediatrics in Laramie, WY

Active since October 13, 2016CLIA 53D1013525 · Waiver
1252 N. 22ND STREET, SUITE B, LARAMIE, WY 82072(307) 745-3704 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Oct 13, 2016 (2 updates tracked since 2016).

About Dell Range Pediatrics NPPES

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

DELL RANGE PEDIATRICS (NPI 1205386281) is a healthcare organization registered as a pediatrics in Laramie, Wyoming and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Vijaya Madhavi Koduri, Owner, as its authorized official.

NPPES Registry Identity

NPI1205386281
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLARAMIE PEDIATRICS/LARAMIE INTERNAL MEDICINE PC
Location Address1252 N. 22ND STREET, SUITE BLaramie, WY 82072
Mailing Address1252 N. 22nd Street, Suite BLaramie, WY 82072 · (307) 745-3704
Phone(307) 745-3704
Organization SubpartYes
Authorized OfficialVijaya Madhavi KoduriOwner · (307) 365-8789
Enumeration DateOctober 13, 2016
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
✔ NPI 1205386281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1252 N. 22ND STREET, Laramie, WY 82072
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Other Names 1

Doing Business AsDell Range Pediatrics

Other Identifiers 1

Medicaid1558672253WY

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 Blue Cross Blue Shield of Wyoming.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 53D1013525

Laramie Pediatrics And Internal Medicine · Laramie, WY
Active · expires Jun 10, 2027
CLIA Number53D1013525
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorVijaya Koduri
Laboratory Phone(307) 745-3704
Laboratory LocationLaramie Pediatrics And Internal Medicine1252 N 22nd St, Ste B, Laramie, WY 82072
CLIA data matches this NPI record on: Address 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 Laramie Pediatrics/Laramie Internal Medicine PC's NPI number?

The NPI number for Laramie Pediatrics/Laramie Internal Medicine PC is 1205386281. It was assigned to this organization in the NPPES registry on October 13, 2016. The provider is doing business as Dell Range Pediatrics.

Where is Laramie Pediatrics/Laramie Internal Medicine PC located?

Laramie Pediatrics/Laramie Internal Medicine PC is located at 1252 N. 22nd Street Suite B, Laramie, WY 82072. The listed phone number is (307) 745-3704.

What is Laramie Pediatrics/Laramie Internal Medicine PC's specialty?

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

Does Laramie Pediatrics/Laramie Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D1013525) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Laramie Pediatrics/Laramie Internal Medicine PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Laramie Pediatrics/Laramie Internal Medicine PC 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 Laramie Pediatrics/Laramie Internal Medicine PC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.