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RIVERSIDE PEDIATRICS, INC
NPI 1790742971
Clinic/Center - Primary Care in Sedalia, MO

Active since April 30, 2006CLIA 26D0870919 · Certificate of Compliance
2873 S INGRAM AVE, SEDALIA, MO 65301(660) 826-0027(660) 826-1494 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Pediatrics, Inc NPPES

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

RIVERSIDE PEDIATRICS, INC (NPI 1790742971) is a healthcare organization registered as a primary care in Sedalia, Missouri and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 7, 2028 and lists Ali Mansour Ebrahimi, President, as its authorized official.

NPPES Registry Identity

NPI1790742971
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRIVERSIDE PEDIATRICS, INC
Location Address2873 S INGRAM AVESedalia, MO 65301-8480
Mailing Address2873 S Ingram AveSedalia, MO 65301-8480 · (660) 826-0027 · Fax (660) 826-1494
Phone(660) 826-0027
Fax(660) 826-1494
Organization SubpartNo
Authorized OfficialAli Mansour EbrahimiPresident · (660) 826-0027
Enumeration DateApril 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790742971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · 101862
2873 S INGRAM AVE, Sedalia, MO 65301
Open in Google Maps ↗

Other Identifiers 5

Other1922V3799MO · Healthcare Usa
Other187630MO · Healthlink Insurance
Other101990MO · Firstguard Insurance
Other29832018MO · Blue Cross Blue Shield
Other1200288MO · United Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Compliance 26D0870919

Riverside Pediatrics, Inc · Sedalia, MO
Active · expires Apr 7, 2028
CLIA Number26D0870919
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorAli Mansour Ebrahimi
Laboratory Phone(660) 826-0027
Laboratory LocationRiverside Pediatrics, Inc2873 S Ingram Ave, Sedalia, MO 65301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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. ALI MANSOUR EBRAHIMI MD
Pediatrics
2873 S INGRAM AVE
SEDALIA, MO 65301
Pettis County (660) 826-0027
JENNIFER SEVIER BC PNP
Nurse Practitioner (Pediatrics)
2873 S INGRAM AVE
SEDALIA, MO 65301
Pettis County (660) 826-0027
DR. SARITHA TTHITTAPPILLIL KRISHNAN M.D.
Pediatrics
2873 S INGRAM AVE
SEDALIA, MO 65301
Pettis County (913) 244-2323

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 Riverside Pediatrics, Inc's NPI number?

The NPI number for Riverside Pediatrics, Inc is 1790742971. It was assigned to this organization in the NPPES registry on April 30, 2006.

Where is Riverside Pediatrics, Inc located?

Riverside Pediatrics, Inc is located at 2873 S Ingram Ave, Sedalia, MO 65301. The listed phone number is (660) 826-0027.

What is Riverside Pediatrics, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Riverside Pediatrics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D0870919) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Riverside Pediatrics, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Riverside Pediatrics, Inc 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 Riverside Pediatrics, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.