NPI age
8 years
Enumerated 2017-11-27
● Active Type 2 · Organization
Subpart
Peds Center Of Round Rock PA
Peds Center Of Round Rock PA is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dasari
Owner
Last NPPES update
2017-11-27
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1526 Leander Rd
Georgetown, TX 786288801
Mailing address
1526 Leander Rd
Georgetown, TX 786288801
Authorized official
Vivekananda Dasari, M.D.
Owner
📞 2012897621
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mary Coghlan, APRN, CPNP-PC Nurse Practitioner NPI 1750069258
- Shelby O'Banon, MSN, CPNP-PC Pediatrics NPI 1396698387
Specialties
-
Pediatrics PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
River Ridge Pediatrics
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Peds Center Of Round Rock PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.