Kidsville Pediatrics Southlake PLLC
NPI 1598639635 · Pediatric Critical Care Medicine Physician · Southlake, TX
Kidsville Pediatrics Southlake PLLC is a Pediatric Critical Care Medicine Physician organization in Southlake, TX (NPI 1598639635).
Provider details
- NPI number
- 1598639635
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ali Shah, Executive Manager(682) 345-8010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Kidsville Pediatrics Southlake PLLC's NPI number?
- Kidsville Pediatrics Southlake PLLC's National Provider Identifier (NPI) is 1598639635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidsville Pediatrics Southlake PLLC?
- Kidsville Pediatrics Southlake PLLC is classified in the NPPES registry as Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kidsville Pediatrics Southlake PLLC located?
- Kidsville Pediatrics Southlake PLLC's practice location on file with NPPES is 2813 W Southlake Blvd Ste 100, Southlake, TX 76092-6832.
- What is Kidsville Pediatrics Southlake PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kidsville Pediatrics Southlake PLLC is (682) 345-8010.
- Who is the authorized official for Kidsville Pediatrics Southlake PLLC?
- The authorized official listed on Kidsville Pediatrics Southlake PLLC's NPPES record is Ali Shah, Executive Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidsville Pediatrics Southlake PLLC's NPI active?
- Yes — Kidsville Pediatrics Southlake PLLC's NPI (1598639635) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.