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EDMOND PEDIATRICS
NPI 1548505258
Pediatrics in Edmond, OK

Active since December 06, 2012CLIA Certified · 3 labs
2109 N KELLY AVE, EDMOND, OK 73003(405) 513-8880(405) 285-5912 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edmond Pediatrics NPPES

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

EDMOND PEDIATRICS (NPI 1548505258) is a healthcare organization registered as a pediatrics in Edmond, Oklahoma and active in the NPI registry since December 2012. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Timothy Fredrick Krous, Md, as its authorized official.

NPPES Registry Identity

NPI1548505258
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEDMOND PEDIATRICS
Location Address2109 N KELLY AVEEdmond, OK 73003-3908
Mailing Address2109 N Kelly AveEdmond, OK 73003-3908 · (405) 513-8880 · Fax (405) 285-5912
Phone(405) 513-8880
Fax(405) 285-5912
Organization SubpartNo
Authorized OfficialTimothy Fredrick KrousMd · (405) 381-8600
Enumeration DateDecember 6, 2012
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1548505258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 21244
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.
2109 N KELLY AVE, Edmond, OK 73003
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Secondary Practice Locations 2

Location 116440 Muirfield PlEdmond, OK 73013-9161 · Phone (405) 513-8880 · Fax (405) 285-5912
Location 2401 S Coltrane Rd Ste 210Edmond, OK 73034-6720 · Phone (405) 513-8880 · Fax (405) 285-5912

Other Identifiers 1

Medicaid100208810AOK

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 37D2141509

Edmond Pediatrics · Edmond, OK
Active · expires Feb 28, 2027
CLIA Number37D2141509
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Timothy F. Krous
Laboratory Phone(405) 513-8880
Laboratory LocationEdmond Pediatrics16440 Muirfield Pl, Edmond, OK 73013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2259780

Edmond Pediatrics Timothy F Krous MD PLLC · Edmond, OK
Active · expires Mar 1, 2027
CLIA Number37D2259780
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDr. Timothy F. Krous
Laboratory Phone(405) 513-8880
Laboratory LocationEdmond Pediatrics Timothy F Krous MD PLLC401 S Coltrane, Ste 210, Edmond, OK 73034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2046940

Edmond Pediatrics Timothy F Krous MD PLLC · Edmond, OK
Active · expires Feb 28, 2027
CLIA Number37D2046940
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Timothy F. Krous
Laboratory Phone(405) 513-8880
Laboratory LocationEdmond Pediatrics Timothy F Krous MD PLLC2109 N Kelley, Edmond, OK 73003
CLIA data matches this NPI record on: 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.

TIMOTHY F KROUS MD
Pediatrics
2109 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 513-8880
DR. JESSICA ANN WALLENMEYER M.D.
Pediatrics
2109 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 513-8880

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 Edmond Pediatrics's NPI number?

The NPI number for Edmond Pediatrics is 1548505258. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Edmond Pediatrics located?

Edmond Pediatrics is located at 2109 N Kelly Ave, Edmond, OK 73003. The listed phone number is (405) 513-8880.

What is Edmond Pediatrics's specialty?

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

Does Edmond Pediatrics hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Edmond Pediatrics accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Edmond Pediatrics 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 Edmond Pediatrics was last updated on April 15, 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.