KIDS FIRST PEDIATRICS OF RALEIGH, PLLC
NPI 1700057486
Pediatrics in Raleigh, NC

NPI Status: Active since March 20, 2008

Contact Information

4109 WAKE FOREST RD STE 300
RALEIGH, NC
ZIP 27609
Phone: (919) 250-3478
Fax: (919) 250-6272

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 34D2215234
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-01-2027

About KIDS FIRST PEDIATRICS OF RALEIGH, PLLC

This page provides the complete NPI Profile along with additional information for Kids First Pediatrics Of Raleigh, Pllc, a pediatrician established in Raleigh, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700057486 assigned on March 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Selam Bullock Md (Ceo)

NPI
1700057486
Provider Legal Name
KIDS FIRST PEDIATRICS OF RALEIGH, PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4109 WAKE FOREST RD STE 300 RALEIGH, NC 27609
Location Phone
(919) 250-3478
Location Fax
(919) 250-6272
Mailing Address
4109 WAKE FOREST RD STE 300 RALEIGH, NC 27609
Mailing Phone
(919) 250-3478
Mailing Fax
(919) 250-6272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2008
Last Update Date
09-02-2025
Code Navigator

A pediatrician like Kids First Pediatrics Of Raleigh, Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 400 Athletic Club Blvd Unit 101
    Clayton, NC 27527
    (919) 267-1499

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SELAM BULLOCK MD

Authorized Official Title
CEO
Authorized Official Phone
(919) 250-3478

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5913770MEDICAID (05)NC 

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
34D2215234
Facility Type
Physician Office
Certificate Effective Date
March 02, 2025
Certificate Expiration Date
March 01, 2027
Laboratory Director
SELAM BULLOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kids First Pediatrics Of Raleigh, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KIDS FIRST PEDIATRICS OF RALEIGH, PLLC

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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 1700057486, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 0 → 0 0 → 0 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 0 + 5 + 1 + 4 + 4 + 1 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1700057486.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Nurse Practitioner (Family)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Physician Assistant
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Nurse Practitioner (Pediatrics)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700057486, enumerated as an "organization" on March 20, 2008.

The provider is located at 4109 WAKE FOREST RD STE 300 RALEIGH, NC 27609 and the phone number is (919) 250-3478.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.