OrganizationActive
Kelly G Thorstad MD PA
NPI 1063638443 · Pediatrics Physician · Austin, TX
Kelly G Thorstad MD PA is a Pediatrics Physician organization in Austin, TX (NPI 1063638443).
Provider details
- NPI number
- 1063638443
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Thorstad, Physician Owner(512) 833-7334
- License
- L0651 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12120 Ranch Road 620 N
Austin, TX 78750-1079
Phone: (512) 833-7334
Fax: (512) 833-7333
Street-level locationGet directions
Mailing address
12120 Ranch Road 620 N
Austin, TX 78750-1079
Other names (DBA / former)
- Doing business as
- Lone Star Pediatrics
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-18
Frequently asked questions
- What is Kelly G Thorstad MD PA's NPI number?
- Kelly G Thorstad MD PA's National Provider Identifier (NPI) is 1063638443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly G Thorstad MD PA?
- Kelly G Thorstad MD PA is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly G Thorstad MD PA located?
- Kelly G Thorstad MD PA's practice location on file with NPPES is 12120 Ranch Road 620 N, Austin, TX 78750-1079.
- What is Kelly G Thorstad MD PA's phone number?
- The practice phone number listed in the NPPES registry for Kelly G Thorstad MD PA is (512) 833-7334.
- Who is the authorized official for Kelly G Thorstad MD PA?
- The authorized official listed on Kelly G Thorstad MD PA's NPPES record is Kelly Thorstad, Physician Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly G Thorstad MD PA's NPI active?
- Yes — Kelly G Thorstad MD PA's NPI (1063638443) is active in the NPPES registry as of the last update on 2007-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.