KIDSVILLE PEDIATRICS PROSPER
NPI 1255292785
Pediatrics - Pediatric Critical Care Medicine in Mckinney, TX
NPI Status: Active since November 24, 2025
Contact Information
1400 N COIT RD STE 1604
MCKINNEY, TX
ZIP 75071
Phone: (682) 868-1020
- Organization
- Pediatrics
- Pediatric Critical Care Medicine
- CLIA Number: 45D2332550
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-20-2027
About KIDSVILLE PEDIATRICS PROSPER
This page provides the complete NPI Profile along with additional information for Kidsville Pediatrics Prosper, a pediatrician established in Mckinney, Texas operating as a Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1255292785 assigned on November 2025. The practitioner's primary taxonomy code is 2080P0203X. The provider is registered as an organization and their NPI record was last updated one year ago. Kidsville Pediatrics Prosper operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ali Shah (Executive Manager)
- NPI
- 1255292785
- Provider Name
- KIDSVILLE PEDIATRICS PROSPER
- Entity Type
- Organization
- Location Address
- 1400 N COIT RD STE 1604 MCKINNEY, TX 75071
- Location Phone
- (682) 868-1020
- Mailing Address
- 1400 N COIT RD STE 1604 MCKINNEY, TX 75071
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-24-2025
- Last Update Date
- 11-24-2025
- Code Navigator
A pediatrician like Kidsville Pediatrics Prosper 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 Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 2278P1006X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 4 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 5 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 45D2332550
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2025
- Certificate Expiration Date
- October 20, 2027
- Laboratory Director
- OLIVIA BOONE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kidsville Pediatrics Prosper 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 1255292785, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255292785, enumerated as an "organization" on November 24, 2025.
The provider is located at 1400 N COIT RD STE 1604 MCKINNEY, TX 75071 and the phone number is (682) 868-1020.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
