PEDIATRICS OF BULLITT COUNTY PLLC
NPI 1164293908
Clinic/Center - Rural Health in Shepherdsville, KY

NPI Status: Active since January 10, 2024

Contact Information

1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY
ZIP 40165
Phone: (502) 215-5090
Fax: (502) 215-5095

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 18D1095817
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-25-2027

About PEDIATRICS OF BULLITT COUNTY PLLC

This page provides the complete NPI Profile along with additional information for Pediatrics Of Bullitt County Pllc, a primary care provider established in Shepherdsville, Kentucky operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1164293908 assigned on January 2024. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Casey Miles Lewis Md (Managing Partner)

NPI
1164293908
Provider Name
PEDIATRICS OF BULLITT COUNTY PLLC
Entity Type
Organization
Location Address
1707 CEDAR GROVE RD STE 20 SHEPHERDSVILLE, KY 40165
Location Phone
(502) 215-5090
Location Fax
(502) 215-5095
Mailing Address
327 EASTBROOKE POINTE DR STE 200 MOUNT WASHINGTON, KY 40047
Mailing Phone
(502) 538-5090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2024
Last Update Date
01-10-2024
Code Navigator

A primary care provider (PCP) like Pediatrics Of Bullitt County Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CASEY MILES LEWIS MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(502) 538-5090

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
18D1095817
Facility Type
Physician Office
Certificate Effective Date
May 26, 2025
Certificate Expiration Date
May 25, 2027
Laboratory Director
DR. CASEY LEWIS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pediatrics Of Bullitt County Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164293908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 2 → 4 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 4 + 9 + 6 + 9 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164293908.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Nurse Practitioner (Pediatrics)
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Pediatrics
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165
Counselor (Mental Health)
1707 CEDAR GROVE RD STE 20
SHEPHERDSVILLE, KY 40165

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164293908, enumerated as an "organization" on January 10, 2024.

The provider is located at 1707 CEDAR GROVE RD STE 20 SHEPHERDSVILLE, KY 40165 and the phone number is (502) 215-5090.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.