Organization
KIDSVILLE PEDIATRICS PROSPER
Active
Organization
KIDSVILLE PEDIATRICS PROSPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAH (EXECUTIVE MANAGER)
(682) 868-1020
Entity
Organization
Contact information
Practice address
1400 N COIT RD STE 1604, MCKINNEY, TX 75071-6661
(682) 868-1020
Mailing address
1400 N COIT RD STE 1604, MCKINNEY, TX 75071-6661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up