Optimum Pediatrics PLLC
NPI 1205664828ActiveOrganization· Pediatrics· Mission, TX
Pediatrics in Mission, Texas, registered in NPPES in July 2024. The authorized official on file is Brandy Beauchamp, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205664828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2024 |
| Last updated in NPPES | Jul 24, 2024 |
| Certified by provider | Jul 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Pediatrics providers in Mission
- 1568072544
- 1841324340
- 1720045156
- 1992494199
- 1710164215
- 1114249471
- 1245503630
- 1407113210
- 1326358227
- 1235307661
- 1184920514
- 1740032259