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PEGASUS PEDIATRICS PA
NPI 1215268776
Pediatrics in San Antonio, TX

Active since January 23, 2010CLIA 45D2007116 · Waiver
6406 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78209(215) 584-5780(516) 214-8751 Get Directions Write a Review

NPPES record last updated: January 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pegasus Pediatrics Pa NPPES

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

PEGASUS PEDIATRICS PA (NPI 1215268776) is a healthcare organization registered as a pediatrics in San Antonio, Texas and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Benjamin Lightfoot Smith, President, as its authorized official.

NPPES Registry Identity

NPI1215268776
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEGASUS PEDIATRICS PA
Location Address6406 N NEW BRAUNFELS AVESan Antonio, TX 78209-3827
Mailing Address2810 Thousand Oaks Dr, #165San Antonio, TX 78232-4108 · (210) 912-8395 · Fax (516) 214-8751
Phone(215) 584-5780
Fax(516) 214-8751
Organization SubpartNo
Authorized OfficialBenjamin Lightfoot SmithPresident · (215) 584-5780
Enumeration DateJanuary 23, 2010
✔ NPI 1215268776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · M9015
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.
6406 N NEW BRAUNFELS AVE, San Antonio, TX 78209
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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

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 45D2007116

Pegasus Pediatrics PA · San Antonio, TX
Active · expires May 6, 2028
CLIA Number45D2007116
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorBenjamin L. Smith
Laboratory Phone(210) 370-3061
Laboratory LocationPegasus Pediatrics PA1020 Townsend Ave, San Antonio, TX 78209
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY C. JONES, MD PLLC
Pain Medicine (Interventional Pain Medicine)
6406 N NEW BRAUNFELS AVE, SUITE 12
SAN ANTONIO, TX 78209
Bexar County (210) 320-2563
DR. PEARL KURIAN JONES MD
Psychiatry & Neurology (Neurology)
6406 N NEW BRAUNFELS AVE
SAN ANTONIO, TX 78209
Bexar County (210) 320-2563
TIFFANY LYNE WALKER PT, DPT, ATC, LAT
Physical Therapist
6406 N NEW BRAUNFELS AVE
SAN ANTONIO, TX 78209
Bexar County (810) 742-1480

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 Pegasus Pediatrics PA's NPI number?

The NPI number for Pegasus Pediatrics PA is 1215268776. It was assigned to this organization in the NPPES registry on January 23, 2010.

Where is Pegasus Pediatrics PA located?

Pegasus Pediatrics PA is located at 6406 N New Braunfels Ave, San Antonio, TX 78209. The listed phone number is (215) 584-5780.

What is Pegasus Pediatrics PA's specialty?

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

Does Pegasus Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2007116) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pegasus Pediatrics PA was last updated on January 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.