SOUTH PADRE ISLAND PEDIATRIC CLINIC PA
SOUTH PADRE ISLAND PEDIATRIC CLINIC PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134374713, based in Mathis, TX. It is classified under Rural Health Clinic/Center.
Getting there
The practice address on file is 220 E. ST. MARY'S STREET, Mathis, TX 78368. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| G6791 | TX | Rural Health Clinic/Center |
| E4618 | TX | Rural Health Clinic/Center primary |
This provider holds licence G6791 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Rural Health Clinic
- PAC ID
- 7113009176
- Enrollment ID
- O20251208001592
Medicare enrolment is recorded as approved under the provider type Part A Provider - Rural Health Clinic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rural Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR1300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center Rural Health | G6791 | TX | |
| 261QR1300X | Rural Health Clinic/Center Rural Health | E4618 | TX | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1134374713 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 24, 2008 |
| Last updated | Oct 31, 2025 |
| Status | Active |
| Practice address |
220 E. ST. MARY'S STREET Mathis, TX 78368 (361) 758-1984 Fax (361) 851-5193 |
| Other names |
South Padre Island Pediatric-mathis Professional Name |
| Other identifiers |
127051405
· Medicaid (TX) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 3 | 7 | 4 | 7 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 6 | 7 | 8 | 7 | 2 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.