KIDSVILLE PEDIATRICS SOUTHLAKE PLLC - NPI 1598639635

Q: What is Kidsville Pediatrics Southlake PLLC's NPI number?

The NPI number for Kidsville Pediatrics Southlake PLLC is 1598639635. It was assigned to this organization in the NPPES registry on October 1, 2025.

Q: What is Kidsville Pediatrics Southlake PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

On this page

About Kidsville Pediatrics Southlake Pllc NPPES

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

KIDSVILLE PEDIATRICS SOUTHLAKE PLLC (NPI 1598639635) is a healthcare organization registered as a pediatric critical care medicine in Southlake, Texas and active in the NPI registry since October 2025. The organization lists Ali Shah, Executive Manager, as its authorized official.

NPPES Registry Identity

NPI1598639635

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameKIDSVILLE PEDIATRICS SOUTHLAKE PLLC

Location Address2813 W SOUTHLAKE BLVD STE 100Southlake, TX 76092-6832

Mailing Address2813 W Southlake Blvd Ste 100Southlake, TX 76092-6832 · (682) 345-8010

Phone(682) 345-8010

Organization SubpartNo

Authorized OfficialAli ShahExecutive Manager · (682) 345-8010

Enumeration DateOctober 1, 2025

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1598639635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

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.

Also ListedPediatricsTaxonomy 208000000X

Also ListedRespiratory Therapist, Certified · Pulmonary Function TechnologistTaxonomy 2278P1006X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

2813 W SOUTHLAKE BLVD STE 100, Southlake, TX 76092

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. OBINNA C. EMECHEBE-KENNEDY M.D., PHARM.D.

Anesthesiology (Pain Medicine)