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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
NPI 1093024101
Pediatrics in Memphis, TN

Active since October 07, 2010CLIA Certified · 2 labs
848 ADAMS AVE., MEMPHIS, TN 38103(901) 287-7337 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 1, 2026, Jul 17, 2023, Jun 14, 2023 and 5 more (8 updates tracked since 2018).

About Ut Lebonheur Pediatric Specialists, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. (NPI 1093024101) is a healthcare organization registered as a pediatrics in Memphis, Tennessee and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates, maintains 21 additional practice locations, and lists Nyoka Bowman, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1093024101
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
Location Address848 ADAMS AVE.Memphis, TN 38103
Mailing Address850 Poplar Ave., Bldg. 2Memphis, TN 38105 · (901) 287-5513
Phone(901) 287-7337
Organization SubpartNo
Authorized OfficialNyoka BowmanSupervisor · (901) 287-5594
Enumeration DateOctober 7, 2010
Last NPPES UpdateSeptember 1, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1093024101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
848 ADAMS AVE., Memphis, TN 38103
Open in Google Maps ↗

Secondary Practice Locations 21

Location 18001 Centerview ParkwayCordova, TN 38018 · Phone (901) 287-7337
Location 2848 Adams Ave., Ste. L400Memphis, TN 38103 · Phone (901) 287-7337
Location 36401 Poplar Ave, Ste. 324Memphis, TN 38119 · Phone (901) 287-7337
Location 4848 Adams Ave., Ste. L201Memphis, TN 38103 · Phone (901) 287-7337
Location 551 N Dunlap St Ste 400Memphis, TN 38105-4625 · Phone (901) 287-7337
Location 651 N. Dunlap St., 2nd FloorMemphis, TN 38105 · Phone (901) 287-7337
Location 74055 N Park LoopMemphis, TN 38152 · Phone (901) 678-2009 · Fax (901) 678-5497
Location 8786 Estate PlMemphis, TN 38120-0600 · Phone (901) 287-7337
Location 9620 Skyline Dr Fl 3Jackson, TN 38301-3923 · Phone (866) 870-5570 · Fax (731) 541-8187
Location 101535 Vann DrJackson, TN 38305 · Phone (731) 984-9944
Location 111920 Kirby Parkway, Ste. 100Germantown, TN 38138 · Phone (901) 287-7337
Location 1251 N Dunlap St Ste G10Memphis, TN 38105-4625 · Phone (901) 287-7337
Location 13100 N Humphreys BlvdMemphis, TN 38120-2146 · Phone (901) 287-7337
Location 14942 Commonwealth BlvdTupelo, MS 38804 · Phone (662) 620-0101
Location 15920 Estate DriveMemphis, TN 38119 · Phone (901) 287-7337
Location 16930 Madison Ave Ste 400Memphis, TN 38103-7400 · Phone (901) 287-7337 · Fax (901) 448-1813
Location 17848 Adams Ave Ste L400Memphis, TN 38103-2816 · Phone (901) 287-7337 · Fax (901) 287-4540
Location 18610 Brunson DrTupelo, MS 38804 · Phone (901) 287-7337 · Fax (901) 448-1813
Location 19800 S Church St Ste 104Jonesboro, AR 72401-4154 · Phone (870) 336-1778 · Fax (870) 366-1780
Location 2051 N. Dunlap St., Ste. 350Memphis, TN 38105 · Phone (901) 287-7337
Location 2151 N Dunlap St Ste 100Memphis, TN 38105-4625 · Phone (901) 287-7337

Other Identifiers 1

Medicaid1520268TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ut Lebonheur Pediatric Specialists, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

584

Medicare enrollment records show 584 clinicians reassign Medicare billing to Ut Lebonheur Pediatric Specialists, Inc., which bills Medicare for the services they deliver. Of these, 103 practice at this address and 346 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Pediatric Medicine186
Nurse Practitioner93
Certified Registered Nurse Anesthetist (CRNA)57
Anesthesiology45
Diagnostic Radiology38
Neurology18
Hospitalist15
Clinical Psychologist11
33 other specialties121

Nearest to this location (20)

See all 584
Johni Armstrong, MD
Pediatric Medicine
NPI 1639868722
848 ADAMS AVE
Memphis, TN 38103
(907) 287-7337
✔ PECOSSame address
Josephine Bolin, DO
Hospitalist
NPI 1457056814
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOSSame address
Heather Carter, RN
Nurse Practitioner
NPI 1972365542
848 ADAMS AVE
Memphis, TN 38103
(901) 287-8900
✔ PECOSSame address
Abhishek Chakraborty
Cardiovascular Disease (Cardiology)
NPI 1831549104
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Nitish Chourasia, M.D.
Neurology
NPI 1316387095
848 ADAMS AVE STE L400
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Maya Emptage, DNP PNP-PC
Nurse Practitioner
NPI 1043176522
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOSSame address
Kathryne Foos, MD
Pediatric Medicine
NPI 1215622121
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Tekesha Henry, DO
Anesthesiology
NPI 1407932031
848 ADAMS AVE
Memphis, TN 38103
(901) 287-6060
✔ PECOS✔ Accepts MedicareSame address
Abigail Patrick
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548011034
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5437
✔ Accepts MedicareSame address
Amy Patterson, MD
Neurology
NPI 1629369475
848 ADAMS AVE STE L400
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Madison Scholl
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144062720
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5437
✔ PECOSSame address
Sydnie Allen, PH.D, LPC, MHSP
Mental Health Counselor
NPI 1265322945
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5437
✔ PECOSSame address
Gwendolyn Beard, PSYD
Clinical Psychologist
NPI 1902454127
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5674
✔ PECOSSame address
Cihangir Buyukgoz, M.D.
Hospitalist
NPI 1972965036
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5437
✔ PECOS✔ Accepts MedicareSame address
Roger Dillard, M.D.
Diagnostic Radiology
NPI 1629418033
848 ADAMS AVE
Memphis, TN 38103
(901) 287-8693
✔ PECOS✔ Accepts MedicareSame address
Rebecca England, MD
Hospice/Palliative Care
NPI 1255914628
848 ADAMS AVE
Memphis, TN 38103
(543) 790-1287
✔ PECOSSame address
Saunders Lin, MD
General Surgery
NPI 1174919765
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Vijetha Maller, M.D
Diagnostic Radiology
NPI 1457751745
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Vinod Maller, M.D.
Interventional Radiology
NPI 1972882207
848 ADAMS AVE
Memphis, TN 38103
(901) 287-7337
✔ PECOS✔ Accepts MedicareSame address
Daniel Nigri, M.D.
Critical Care (Intensivists)
NPI 1447743729
848 ADAMS AVE
Memphis, TN 38103
(901) 287-6303
✔ PECOS✔ Accepts MedicareSame address
See all 584 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D0862078

Ut Lebonheur Pediatric Specialists Inc · Memphis, TN
Active · expires Aug 31, 2028
CLIA Number44D0862078
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Jason Yaun
Laboratory Phone(901) 287-5547
Laboratory LocationUt Lebonheur Pediatric Specialists Inc51 N Dunlap Street, Memphis, TN 38105
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2037820

Ut Le Bonheur Pediatric Specialists · Tupelo, MS
Active · expires Mar 6, 2028
CLIA Number25D2037820
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorRobin L. Jack
Laboratory Phone(662) 620-0101
Laboratory LocationUt Le Bonheur Pediatric Specialists942 Commonwealth Blvd, Tupelo, MS 38804
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ut Lebonheur Pediatric Specialists, Inc.'s NPI number?

The NPI number for Ut Lebonheur Pediatric Specialists, Inc. is 1093024101. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is Ut Lebonheur Pediatric Specialists, Inc. located?

Ut Lebonheur Pediatric Specialists, Inc. is located at 848 Adams Ave., Memphis, TN 38103. The listed phone number is (901) 287-7337.

What is Ut Lebonheur Pediatric Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ut Lebonheur Pediatric Specialists, Inc. enrolled in Medicare?

Yes. Ut Lebonheur Pediatric Specialists, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ut Lebonheur Pediatric Specialists, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 584 clinicians in 41 Medicare specialties reassign their Medicare billing to Ut Lebonheur Pediatric Specialists, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (186), Nurse Practitioner (93) and Certified Registered Nurse Anesthetist (CRNA) (57). Of these, 103 practice at this address and 346 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ut Lebonheur Pediatric Specialists, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ut Lebonheur Pediatric Specialists, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Ut Lebonheur Pediatric Specialists, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ut Lebonheur Pediatric Specialists, Inc. was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.