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PEDIATRICS OF BOERNE
NPI 1790310084
Pediatrics in Boerne, TX

Active since March 06, 2020CLIA 45D2188153 · Waiver
138 OLD SAN ANTONIO RD STE 101, BOERNE, TX 78006(830) 355-2343(830) 268-8711 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 22, 2020, May 26, 2020, Mar 6, 2020 (3 updates tracked since 2020).

About Pediatrics Of Boerne NPPES

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

PEDIATRICS OF BOERNE (NPI 1790310084) is a healthcare organization registered as a pediatrics in Boerne, Texas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Shalini Boggarapu, Md, as its authorized official.

NPPES Registry Identity

NPI1790310084
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOERNE PEDIATRICS
Location Address138 OLD SAN ANTONIO RD STE 101Boerne, TX 78006-3491
Mailing Address138 Old San Antonio Rd Ste 101Boerne, TX 78006-3491 · (830) 355-2343 · Fax (830) 268-8711
Phone(830) 355-2343
Fax(830) 268-8711
Organization SubpartNo
Authorized OfficialShalini BoggarapuMd · (347) 604-4060
Enumeration DateMarch 6, 2020
Last NPPES UpdateJuly 22, 20203 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1790310084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
138 OLD SAN ANTONIO RD STE 101, Boerne, TX 78006
Open in Google Maps ↗

Other Names 1

Doing Business AsPediatrics Of Boerne

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 Blue Cross and Blue Shield of Texas.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 45D2188153

Boerne Pediatrics, PLLC Dba Pediatrics Of Boerne · Boerne, TX
Active · expires Jul 12, 2028
CLIA Number45D2188153
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorShalini Boggarapu
Laboratory Phone(830) 355-2343
Laboratory LocationBoerne Pediatrics, PLLC Dba Pediatrics Of Boerne138 Old San Antonio Road, Ste 101, Boerne, TX 78006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JOSHUA LEVI FIELDS DC
Chiropractor
138 OLD SAN ANTONIO RD STE 101
BOERNE, TX 78006
Kendall County (830) 850-0077
SHALINI BOGGARAPU MD
Pediatrics
138 OLD SAN ANTONIO RD STE 101
BOERNE, TX 78006
Kendall County (830) 355-2343
FIELDS FAMILY CHIROPRACTIC LLC
Chiropractor
138 OLD SAN ANTONIO RD STE 101
BOERNE, TX 78006
Kendall County (830) 850-0077

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 Boerne Pediatrics's NPI number?

The NPI number for Boerne Pediatrics is 1790310084. It was assigned to this organization in the NPPES registry on March 6, 2020. The provider is doing business as Pediatrics Of Boerne.

Where is Boerne Pediatrics located?

Boerne Pediatrics is located at 138 Old San Antonio Rd Ste 101, Boerne, TX 78006. The listed phone number is (830) 355-2343.

What is Boerne Pediatrics's specialty?

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

Does Boerne Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2188153) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boerne Pediatrics accept?

Health plans from Blue Cross and Blue Shield of Texas list Boerne 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 Boerne Pediatrics was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.