PEDIATRIC MEDICAL CENTER, PA
NPI 1871761940
Pediatrics in Houston, TX

Active since February 12, 2008CLIA 45D1082964 · Waiver
11450 SPACE CENTER BLVD STE 100, HOUSTON, TX 77059(281) 991-7000(281) 991-7003 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Medical Center, Pa NPPES

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

PEDIATRIC MEDICAL CENTER, PA (NPI 1871761940) is a healthcare organization registered as a pediatrics in Houston, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 22, 2028, maintains a secondary practice location in Pasadena, and lists Ashu Syal, Owner & Physician, as its authorized official.

NPPES Registry Identity

NPI1871761940
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC MEDICAL CENTER, PA
Location Address11450 SPACE CENTER BLVD STE 100Houston, TX 77059-3642
Mailing Address11450 Space Center Blvd Ste 100Houston, TX 77059-3642 · (281) 991-7000 · Fax (281) 991-7003
Fax(281) 991-7003
Organization SubpartNo
Authorized OfficialAshu SyalOwner & Physician · (281) 991-7000
Enumeration DateFebruary 12, 2008
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1871761940 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.
11450 SPACE CENTER BLVD STE 100, Houston, TX 77059

Secondary Practice Location 1

Location 13315 Burke Rd Ste 101Pasadena, TX 77504-1873 · Phone (713) 472-8680 · Fax (713) 472-0744

Other Identifiers 2

Medicaid175920101TX
Other0001QUTX · Bc/bs Of Texas

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

CLIA Laboratory Certificates CMS CLIA 2

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 45D1082964

Pediatric Medical Center, PA · Houston, TX
Active · expires Apr 22, 2028
CLIA Number45D1082964
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorAdnan Trabulsi MD
Laboratory Phone(281) 991-7000
Laboratory LocationPediatric Medical Center, PA11450 Space Center Blvd, Suite 100, Houston, TX 77059
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2188404

Pediatric Medical Center, PA · Pasadena, TX
Expired · Jul 15, 2026
CLIA Number45D2188404
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorAdnan Tribulsi
Laboratory Phone(713) 472-8680
Laboratory LocationPediatric Medical Center, PA3315 Burke Road, Suite 101, Pasadena, TX 77504
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

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

Pediatrics
11450 SPACE CENTER BLVD STE 100
HOUSTON, TX 77059

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 Pediatric Medical Center, PA's NPI number?

The NPI number for Pediatric Medical Center, PA is 1871761940. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Pediatric Medical Center, PA located?

Pediatric Medical Center, PA is located at 11450 Space Center Blvd Ste 100, Houston, TX 77059. The listed phone number is (281) 991-7000.

What is Pediatric Medical Center, PA's specialty?

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

Does Pediatric Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1082964) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Medical Center, PA 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 3 other insurers list Pediatric Medical Center, PA 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 Pediatric Medical Center, PA was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.