PEDIATRICS PALACE OF DFW
NPI 1245583426
Pediatrics in Bedford, TX

NPI Status: Active since October 25, 2012

Contact Information

2213 MARTIN DRIVE
BEDFORD, TX
ZIP 76021
Phone: (817) 876-6113

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  • Organization
  • Pediatrics
  • CLIA Number: 45D2057241
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-04-2026

About PEDIATRICS PALACE OF DFW

This page provides the complete NPI Profile along with additional information for Pediatrics Palace Of Dfw, a pediatrician established in Bedford, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1245583426 assigned on October 2012. The practitioner's primary taxonomy code is 208000000X with license number N4176 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pediatrics Palace Of Dfw. The authorized official of this NPI record is Ana I Valdes Roque Md (Managing Member)

NPI
1245583426
Provider Legal Name
LOVING CARE GROUP LLC
Other Organization Name
PEDIATRICS PALACE OF DFW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2213 MARTIN DRIVE BEDFORD, TX 76021
Location Phone
(817) 876-6113
Mailing Address
2825 N STATE HIGHWAY 360 APT 535 GRAND PRAIRIE, TX 75050
Mailing Phone
(817) 471-2171
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2012
Last Update Date
01-22-2013
Code Navigator

A pediatrician like Pediatrics Palace Of Dfw is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
N4176
License State
TX
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANA I VALDES ROQUE MD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(817) 933-2840

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1477786465MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2057241
Facility Type
Physician Office
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
ANA I. VALDES ROQUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatrics Palace Of Dfw to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245583426, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 0 + 8 + 6 + 4 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245583426.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
2213 MARTIN DRIVE
BEDFORD, TX 76021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245583426, enumerated as an "organization" on October 25, 2012.

The provider is located at 2213 MARTIN DRIVE BEDFORD, TX 76021 and the phone number is (817) 876-6113.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.