Organization
MAGELLA MEDICAL ASSOCIATES BILLING, INC.
Active
Parent organization
PEDIATRIX MEDICAL SERVICES
Other names
Magella Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIX MEDICAL SERVICES
Authorized official
DR. MICHAEL D DWYER (ASSISTANT SECRETARY)
(972) 437-5099
Entity
Organization
Contact information
Practice address
2400 ROUND ROCK AVE, ROUND ROCK, TX 78681-4004
(512) 341-1000
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3829
(214) 343-2814
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001JV
BCBS AUSTIN
TX
01
—
0004DJ
BCBS AUSTIN
TX
01
—
0022EZ
BCBS DALLAS MFM
TX
01
—
003DJ
BCBS SA
TX
01
—
0096MW
BCBS CARDI
TX
01
—
0098JQ
BCBS SA
TX
01
—
0099JQ
BCBS DALLAS
TX
01
—
00R87Z
BCBS AUSTIN/SA CARDI GROUP
TX
05
—
0806424-02
—
TX
05
—
0806457-01
—
TX
05
—
081018601
—
TX
05
—
081018602
—
TX
05
—
112890201
—
TX
05
—
125998804
—
TX
05
—
125998834
—
TX
05
—
125998839
—
TX
05
—
1518920-01
—
TX
05
—
1577256-01
—
TX
05
—
1577629-01
—
TX
05
—
173248901
—
TX
01
—
2151688
AETNA GROUP SA
TX
01
—
5108785
AETNA AUSTIN/SA GROUP #
TX
01
—
8549305
AETNA GROUP
TX
Enumeration date
07/16/2006
Last updated
04/07/2025
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