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WONDER KIDS PEDIATRICS, PLLC
NPI 1215345202
Pediatrics in San Antonio, TX

Active since July 23, 2014CLIA 45D2090000 · Waiver
20818 GATHERING OAK, SUITE 109, SAN ANTONIO, TX 78260(210) 762-6464 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wonder Kids Pediatrics, Pllc NPPES

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

WONDER KIDS PEDIATRICS, PLLC (NPI 1215345202) is a healthcare organization registered as a pediatrics in San Antonio, Texas and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Demetrios G Leiloglou, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1215345202
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWONDER KIDS PEDIATRICS, PLLC
Location Address20818 GATHERING OAK, SUITE 109San Antonio, TX 78260-3104
Mailing Address18815 MillhollowSan Antonio, TX 78258-4258 · (210) 392-3506
Phone(210) 762-6464
Organization SubpartNo
Authorized OfficialDemetrios G LeiloglouOwner/physician · (210) 392-3506
Enumeration DateJuly 23, 2014
✔ NPI 1215345202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · L2984
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.
20818 GATHERING OAK, San Antonio, TX 78260
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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 45D2090000

Wonder Kids Pediatrics PLLC · San Antonio, TX
Active · expires Jan 12, 2027
CLIA Number45D2090000
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorDemetrios Leiloglou
Laboratory Phone(210) 762-6464
Laboratory LocationWonder Kids Pediatrics PLLC20818 Gathering Oak, Suite 109, San Antonio, TX 78260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. DEMETRIOS G LEILOGLOU M.D.
Pediatrics
20818 GATHERING OAK, SUITE 109
SAN ANTONIO, TX 78260
Bexar County (210) 762-6464
HANNAH CARROLL ANDONIE OTR/L
Occupational Therapist (Pediatrics)
20818 GATHERING OAK
SAN ANTONIO, TX 78260
Bexar County (909) 363-6068

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 Wonder Kids Pediatrics, PLLC's NPI number?

The NPI number for Wonder Kids Pediatrics, PLLC is 1215345202. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Wonder Kids Pediatrics, PLLC located?

Wonder Kids Pediatrics, PLLC is located at 20818 Gathering Oak Suite 109, San Antonio, TX 78260. The listed phone number is (210) 762-6464.

What is Wonder Kids Pediatrics, PLLC's specialty?

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

Does Wonder Kids Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2090000) is associated with this NPI, valid through January 12, 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 Wonder Kids Pediatrics, PLLC was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.