BLUEGRASS PEDIATRICS, LLC
NPI 1427478700
Pediatrics in Paducah, KY
NPI Status: Active since April 24, 2014
Contact Information
242 BERGER RD
PADUCAH, KY
ZIP 42003
Phone: (270) 366-0960
Fax: (270) 554-1108
- Organization
- Pediatrics
- CLIA Number: 18D2080529
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-08-2026
About BLUEGRASS PEDIATRICS, LLC
This page provides the complete NPI Profile along with additional information for Bluegrass Pediatrics, Llc, a pediatrician established in Paducah, Kentucky operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1427478700 assigned on April 2014. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Bluegrass Pediatrics, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Trudy Quertermous (Credentialing/billing Manager)
- NPI
- 1427478700
- Provider Name
- BLUEGRASS PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 242 BERGER RD PADUCAH, KY 42003
- Location Phone
- (270) 366-0960
- Location Fax
- (270) 554-1108
- Mailing Address
- 242 BERGER RD PADUCAH, KY 42003
- Mailing Phone
- (270) 366-0960
- Mailing Fax
- (270) 554-1108
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2014
- Last Update Date
- 10-15-2024
- Code Navigator
A pediatrician like Bluegrass Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100304720 | MEDICAID (05) | KY | |
| 7100886900 | MEDICAID (05) | KY | |
| 1164425831 | OTHER (01) | KY | NPI ROACH |
| 1417671041 | OTHER (01) | NPI FELTS | |
| 1427478700 | OTHER (01) | KY | NPI GROUP |
| 64095565 | MEDICAID (05) | KY | |
| 7100483540 | MEDICAID (05) | KY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2080529
- Facility Type
- Physician Office
- Certificate Effective Date
- July 09, 2024
- Certificate Expiration Date
- July 08, 2026
- Laboratory Director
- DR. JOHN M. ROACH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bluegrass Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 4 | 7 | 8 | 7 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 8 | 7 | 16 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 8 + 7 + 1 + 6 + 7 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1427478700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851329122 | DR. PETER ALLAN WARD MD, FACS Individual | Plastic Surgery | 242 BERGER RD PADUCAH, KY 42003 (270) 444-0119 |
| 1043372279 | LIFEWORKS AESTHETIC CENTER, PSC Organization | Specialist | 242 BERGER RD PADUCAH, KY 42003 (270) 444-0119 |
| 1912270125 | KATHY L OLSON APRN Individual | Nurse Practitioner (Family) | 242 BERGER RD PADUCAH, KY 42003 (270) 366-0960 |
| 1417671041 | SHEENA LYNN FELTS APRN Individual | Nurse Practitioner (Family) | 242 BERGER RD PADUCAH, KY 42003 (270) 366-0960 |
| 1407296999 | DR. ALEX W WRIGHT M.D. Individual | Family Medicine | 242 BERGER RD PADUCAH, KY 42003 (270) 366-0960 |
| 1538999123 | WRIGHT MEDICAL PLLC Organization | Family Medicine | 242 BERGER RD PADUCAH, KY 42003 (270) 366-0960 |
| 1164425831 | DR. JOHN M. ROACH M.D Individual | Pediatrics | 242 BERGER RD PADUCAH, KY 42003 (270) 366-0960 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427478700, enumerated in the NPI registry as an "organization" on April 24, 2014
The provider is located at 242 Berger Rd Paducah, Ky 42003 and the phone number is (270) 366-0960
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 18D2080529 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 24, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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