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NORTHSIDE PEDIATRICS ASSOCIATES, PA
NPI 1669928883
Pediatrics in Conroe, TX

Active since August 28, 2016CLIA 45D2124872 · Waiver
15210 I-45 SOUTH, SUITE 110, CONROE, TX 77384(936) 270-8655 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2017, Aug 28, 2016 (2 updates tracked since 2016).

About Northside Pediatrics Associates, Pa NPPES

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

NORTHSIDE PEDIATRICS ASSOCIATES, PA (NPI 1669928883) is a healthcare organization registered as a pediatrics in Conroe, Texas and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Michael E Okogbo, Owner, as its authorized official.

NPPES Registry Identity

NPI1669928883
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTHSIDE PEDIATRICS ASSOCIATES, PA
Location Address15210 I-45 SOUTH, SUITE 110Conroe, TX 77384-4105
Mailing Address15210 I-45 S, Suite 110Conroe, TX 77384-4105 · (936) 270-8655 · Fax (936) 270-8739
Phone(936) 270-8655
Organization SubpartNo
Authorized OfficialMichael E OkogboOwner · (806) 626-3808
Enumeration DateAugust 28, 2016
Last NPPES UpdateApril 19, 20172 updates tracked since enumeration
✔ NPI 1669928883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K4516
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.
15210 I-45 SOUTH, Conroe, TX 77384
Open in Google Maps ↗

Other Identifiers 2

Other1609104785TX · Npi
Other1043224132TX · Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2124872

Northside Pediatrics Associates PA · Conroe, TX
Active · expires Jan 25, 2027
CLIA Number45D2124872
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorAyotunde Faweya
Laboratory Phone(806) 626-3808
Laboratory LocationNorthside Pediatrics Associates PA500 Medical Center Blvd, Suite 350, Conroe, TX 77304
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

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

DR. AYOTUNDE GREGORY FAWEYA MD
Pediatrics
15210 I-45 SOUTH, SUITE 110
CONROE, TX 77384
Montgomery County (936) 270-8655

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 Northside Pediatrics Associates, PA's NPI number?

The NPI number for Northside Pediatrics Associates, PA is 1669928883. It was assigned to this organization in the NPPES registry on August 28, 2016.

Where is Northside Pediatrics Associates, PA located?

Northside Pediatrics Associates, PA is located at 15210 I-45 South Suite 110, Conroe, TX 77384. The listed phone number is (936) 270-8655.

What is Northside Pediatrics Associates, PA's specialty?

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

Does Northside Pediatrics Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2124872) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northside Pediatrics Associates, PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Northside Pediatrics Associates, PA 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 Northside Pediatrics Associates, PA was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.