PEDIATRIC ASSOCIATES OF HAZARD
NPI 1487600615
Clinic/Center - Rural Health in Hazard, KY
About Pediatric Associates Of Hazard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC ASSOCIATES OF HAZARD (NPI 1487600615) is a healthcare organization registered as a rural health in Hazard, Kentucky and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Djien Hwat So, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Pediatric Associates Of Hazard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Pediatric Associates Of Hazard, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
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
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 18D0997986
Pediatric Associates · Hazard, KYFrequently 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 Pediatric Associates's NPI number?
The NPI number for Pediatric Associates is 1487600615. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Pediatric Associates Of Hazard.
Where is Pediatric Associates located?
Pediatric Associates is located at 1710 N Main St Pediatric Associates, Hazard, KY 41701. The listed phone number is (606) 487-8300.
What is Pediatric Associates's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Pediatric Associates enrolled in Medicare?
Yes. Pediatric Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Pediatric Associates. 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 Nurse Practitioner (10), Allergy/Immunology (1) and Clinical Social Worker (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pediatric Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D0997986) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatric Associates accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Pediatric Associates 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 Pediatric Associates was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Pediatric Associates Of Hazard · NPI 1487600615
Rural Health organization in Hazard, Kentucky. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1487600615 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Pediatric Associates
- **Organization subpart:** No
- **Authorized official:** Djien So, ADMINISTRATOR
## Practice location
- **Address:** 1710 N MAIN ST, PEDIATRIC ASSOCIATES, Hazard, KY 41701-1278
- **Phone:** (606) 487-8300 · **Fax:** (606) 436-9953
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Allergy/Immunology (1), Clinical Social Worker (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2019
- **Other identifiers:** Medicaid 35001627 (KY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487600615) · Data from the CMS NPPES public registry.