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LEXINGTON PEDIATRICS, LLC
NPI 1124490701
Pediatrics in Lexington, MA

Active since October 22, 2015CLIA 22D0078545 · Waiver
57 BEDFORD ST STE 100, LEXINGTON, MA 02420(781) 862-4110(781) 863-2007 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lexington Pediatrics, Llc NPPES

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

LEXINGTON PEDIATRICS, LLC (NPI 1124490701) is a healthcare organization registered as a pediatrics in Lexington, Massachusetts and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Ramey Harris-tatar, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1124490701
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLEXINGTON PEDIATRICS, LLC
Location Address57 BEDFORD ST STE 100Lexington, MA 02420-4550
Mailing Address57 Bedford St Ste 100Lexington, MA 02420-4550 · (781) 862-4110 · Fax (781) 863-2007
Phone(781) 862-4110
Fax(781) 863-2007
Organization SubpartNo
Authorized OfficialRamey Harris-tatarPractice Administrator · (781) 862-4110
Enumeration DateOctober 22, 2015
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1124490701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
57 BEDFORD ST STE 100, Lexington, MA 02420
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 22D0078545

Lexington Pediatrics · Lexington, MA
Active · expires Aug 24, 2027
CLIA Number22D0078545
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorKatharine M. Garnett
Laboratory Phone(781) 862-4110
Laboratory LocationLexington Pediatrics57 Bedford Street, Suite 100, Lexington, MA 02420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LAZARO RN, BSN, IBCLC
Nurse Practitioner (Primary Care)
57 BEDFORD ST STE 100
LEXINGTON, MA 02420
Middlesex County (978) 424-8440
JENNIFER DONELAN PHD
Psychologist
57 BEDFORD ST STE 100
LEXINGTON, MA 02420
Middlesex County (781) 862-4110
LEXINGTON PEDIATRICS, LLC
Pediatrics
57 BEDFORD ST STE 100
LEXINGTON, MA 02420
Middlesex County (781) 862-4110

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 Lexington Pediatrics, LLC's NPI number?

The NPI number for Lexington Pediatrics, LLC is 1124490701. It was assigned to this organization in the NPPES registry on October 22, 2015.

Where is Lexington Pediatrics, LLC located?

Lexington Pediatrics, LLC is located at 57 Bedford St Ste 100, Lexington, MA 02420. The listed phone number is (781) 862-4110.

What is Lexington Pediatrics, LLC's specialty?

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

Does Lexington Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D0078545) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lexington Pediatrics, LLC accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Lexington Pediatrics, LLC 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 Lexington Pediatrics, LLC was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.