Organization provider

KIDS STATION PEDIATRICS

Pediatric Adolescent Medicine Physician Pediatric Nurse Practitioner

KIDS STATION PEDIATRICS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417153677, based in Manchester, CT. The organization lists 2 taxonomy classifications, with Pediatric Adolescent Medicine Physician recorded as primary.

Getting there

The practice address on file is 191 MAIN ST, Manchester, CT 06042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

191 MAIN ST, Manchester, CT 06042 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

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 Adolescent Medicine covers

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine

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.

CodeSpecialtyLicenceState
2080A0000X Pediatric Adolescent Medicine Physician Adolescent Medicine primary
363LP0200X Pediatric Nurse Practitioner Pediatrics CT

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.

NPI1417153677 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 25, 2007
Last updatedOct 8, 2013
StatusActive
Practice address 191 MAIN ST
Manchester, CT 06042
(860) 643-7973
Fax (860) 643-0175
Other identifiers 004132651 · Medicaid (CT)
This record was last updated on Oct 8, 2013, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1417153677 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 4 1 7 1 5 3 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 2 5 6 6 5

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

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.

Common questions

What is NPI number 1417153677?
NPI 1417153677 is the National Provider Identifier assigned to KIDS STATION PEDIATRICS in Manchester, CT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adolescent Medicine cover?
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
How do I contact KIDS STATION PEDIATRICS?
The phone number on file with NPPES is (860) 643-7973, last updated Oct 8, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417153677 a valid number?
Yes. 1417153677 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.