PEDIATRIC SPECIALISTS LLC
PEDIATRIC SPECIALISTS LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1184789364, based in Henderson, KY. The organization lists 2 taxonomy classifications, with Pediatric Gastroenterology Physician recorded as primary.
Getting there
The practice address on file is 505 KLUTEY PARK PLAZA DR, Henderson, KY 42420. 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 |
|---|---|---|
| 27410 | KY | Pediatric Gastroenterology Physician primary |
| 27411 | KY | Neonatal-Perinatal Medicine Physician |
This provider holds licence 27410 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Gastroenterology covers
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. NUCC Health Care Provider Taxonomy, code 2080P0206X
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 | |
|---|---|---|---|---|
| 2080P0206X | Pediatric Gastroenterology Physician Pediatric Gastroenterology | 27410 | KY | primary |
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | 27411 | KY |
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 | 1184789364 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 27, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
505 KLUTEY PARK PLAZA DR Henderson, KY 42420 (270) 830-0313 Fax (270) 830-7117 |
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 | 8 | 4 | 7 | 8 | 9 | 3 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 5 | 8 | 9 | 3 | 3 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
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.