PEDIATRIC DEPOT PLLC
NPI 1861043259
Pediatrics in Terrell, TX

Q: What is Pediatric Depot PLLC's NPI number?

The NPI number for Pediatric Depot PLLC is 1861043259. It was assigned to this organization in the NPPES registry on September 26, 2019.

Q: What is Pediatric Depot PLLC's specialty?

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

Active since September 26, 2019CLIA 45D2172780 · Waiver

1446 W MOORE AVE STE 206, TERRELL, TX 75160(972) 210-7350(972) 210-7355 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jun 5, 2020, Sep 26, 2019 (3 updates tracked since 2019).

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About Pediatric Depot Pllc NPPES

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

PEDIATRIC DEPOT PLLC (NPI 1861043259) is a healthcare organization registered as a pediatrics in Terrell, Texas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Roshni Patel, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1861043259

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC DEPOT PLLC

Location Address1446 W MOORE AVE STE 206Terrell, TX 75160-2372

Mailing Address1446 W Moore Ave Ste 206Terrell, TX 75160-2372 · (972) 210-7350 · Fax (972) 210-7355

Phone(972) 210-7350

Fax(972) 210-7355

Organization SubpartNo

Authorized OfficialRoshni PatelManaging Member · (972) 210-7350

Enumeration DateSeptember 26, 2019

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1861043259 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.

1446 W MOORE AVE STE 206, Terrell, TX 75160

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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 45D2172780

Pediatric Depot · Terrell, TX

Active · expires Sep 29, 2027

CLIA Number45D2172780

Laboratory TypePractitioner Other

Certificate Effective DateSeptember 30, 2025

Certificate Expiration DateSeptember 29, 2027

Laboratory DirectorRoshni Patel

Laboratory Phone(614) 946-7674

Laboratory LocationPediatric Depot1446 West Moore Ave #206, Terrell, TX 75160

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

IRENE METTO RONO CPNP-PC

Nurse Practitioner (Pediatrics)