Shine Pediatrics and Wellness Center P.A.
NPI 1609110832ActiveOrganization· Pediatrics· Richardson, TX
Pediatrics in Richardson, Texas, registered in NPPES in November 2012. The authorized official on file is Randy Naidoo, M.D., President.
Overview
| NPI | 1609110832 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2012 |
| Last updated in NPPES | Aug 10, 2021 |
| Certified by provider | Aug 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Pediatrics | 208000000X | M0506 | TX |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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