KIDSVILLE PEDIATRICS PLLC
NPI 1689264996
Pediatrics - Pediatric Critical Care Medicine in Mansfield, TX
About Kidsville Pediatrics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDSVILLE PEDIATRICS PLLC (NPI 1689264996) is a healthcare organization registered as a pediatric critical care medicine in Mansfield, Texas and active in the NPI registry since January 2021. The organization lists Tarek Salman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidsville Pediatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Kidsville Pediatrics PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kidsville Pediatrics PLLC's NPI number?
The NPI number for Kidsville Pediatrics PLLC is 1689264996. It was assigned to this organization in the NPPES registry on January 20, 2021.
Where is Kidsville Pediatrics PLLC located?
Kidsville Pediatrics PLLC is located at 1759 Broad Park Cir S, Mansfield, TX 76063. The listed phone number is (682) 341-3888.
What is Kidsville Pediatrics PLLC's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Kidsville Pediatrics PLLC enrolled in Medicare?
Yes. Kidsville Pediatrics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kidsville Pediatrics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Kidsville Pediatrics PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Pediatric Medicine (6) and Psychiatry (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kidsville Pediatrics PLLC 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 2 other insurers list Kidsville Pediatrics PLLC 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 Kidsville Pediatrics PLLC was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kidsville Pediatrics Pllc · NPI 1689264996
Pediatric Critical Care Medicine organization in Mansfield, Texas. Organization record, active in the CMS NPPES registry since January 20, 2021.
## Identity
- **NPI:** 1689264996 (Entity type: Organization)
- **Enumerated:** January 20, 2021
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **Organization subpart:** No
- **Authorized official:** Tarek Salman, MANAGER
## Practice location
- **Address:** 1759 BROAD PARK CIR S, Mansfield, TX 76063-7833
- **Phone:** (682) 341-3888 · **Fax:** (682) 400-1288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Pediatric Medicine (6), Psychiatry (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689264996) · Data from the CMS NPPES public registry.