LIFETREE PEDIATRICS PLLC
NPI 1790519452
Pediatrics in Frisco, TX
About Lifetree Pediatrics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFETREE PEDIATRICS PLLC (NPI 1790519452) is a healthcare organization registered as a pediatrics in Frisco, Texas and active in the NPI registry since August 2024. The organization lists Anbu Durai Muthusamy, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifetree Pediatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifetree Pediatrics PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Lifetree Pediatrics PLLC's NPI number?
The NPI number for Lifetree Pediatrics PLLC is 1790519452. It was assigned to this organization in the NPPES registry on August 27, 2024.
Where is Lifetree Pediatrics PLLC located?
Lifetree Pediatrics PLLC is located at 8195 Custer Rd Ste 110, Frisco, TX 75035. The listed phone number is (469) 830-8835.
What is Lifetree Pediatrics PLLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Lifetree Pediatrics PLLC enrolled in Medicare?
Yes. Lifetree Pediatrics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifetree Pediatrics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Lifetree 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lifetree Pediatrics PLLC was last updated on August 27, 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.
# Lifetree Pediatrics Pllc · NPI 1790519452
Pediatrics organization in Frisco, Texas. Organization record, active in the CMS NPPES registry since August 27, 2024.
## Identity
- **NPI:** 1790519452 (Entity type: Organization)
- **Enumerated:** August 27, 2024
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Anbu Durai Muthusamy, MANAGING MEMBER
## Practice location
- **Address:** 8195 CUSTER RD STE 110, Frisco, TX 75035-3195
- **Phone:** (469) 830-8835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790519452) · Data from the CMS NPPES public registry.