Lifetree Pediatrics PLLC
NPI 1790519452 · Pediatrics Physician · Frisco, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifetree Pediatrics PLLC is a Pediatrics Physician organization in Frisco, TX (NPI 1790519452).
Provider details
- NPI number
- 1790519452
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anbu Durai Muthusamy, Managing Member(714) 679-9651
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Frequently asked questions
- What is Lifetree Pediatrics PLLC's NPI number?
- Lifetree Pediatrics PLLC's National Provider Identifier (NPI) is 1790519452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifetree Pediatrics PLLC?
- Lifetree Pediatrics PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lifetree Pediatrics PLLC located?
- Lifetree Pediatrics PLLC's practice location on file with NPPES is 8195 Custer Rd Ste 110, Frisco, TX 75035-3195.
- What is Lifetree Pediatrics PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lifetree Pediatrics PLLC is (469) 830-8835.
- Does Lifetree Pediatrics PLLC accept Medicare?
- Lifetree Pediatrics PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifetree Pediatrics PLLC?
- The authorized official listed on Lifetree Pediatrics PLLC's NPPES record is Anbu Durai Muthusamy, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifetree Pediatrics PLLC's NPI active?
- Yes — Lifetree Pediatrics PLLC's NPI (1790519452) is active in the NPPES registry as of the last update on 2024-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.