WEST SIDE ADULT AND PEDIATRIC CARE LLC
NPI 1720107097
Family Medicine in Cincinnati, OH
About West Side Adult And Pediatric Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST SIDE ADULT AND PEDIATRIC CARE LLC (NPI 1720107097) is a healthcare organization registered as a family medicine in Cincinnati, Ohio and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Kylie Boggs, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
West Side Adult And Pediatric Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to West Side Adult And Pediatric Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 36D0347502
West Side Adult And Pediatric Care LLC · Cincinnati, OHFrequently 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 West Side Adult And Pediatric Care LLC's NPI number?
The NPI number for West Side Adult And Pediatric Care LLC is 1720107097. It was assigned to this organization in the NPPES registry on March 28, 2007.
Where is West Side Adult And Pediatric Care LLC located?
West Side Adult And Pediatric Care LLC is located at 7225 Colerain Ave Suite 103, Cincinnati, OH 45239. The listed phone number is (513) 681-3500.
What is West Side Adult And Pediatric Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is West Side Adult And Pediatric Care LLC enrolled in Medicare?
Yes. West Side Adult And Pediatric Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Side Adult And Pediatric Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to West Side Adult And Pediatric Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does West Side Adult And Pediatric Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0347502) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does West Side Adult And Pediatric Care LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list West Side Adult And Pediatric Care 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 West Side Adult And Pediatric Care LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# West Side Adult And Pediatric Care Llc · NPI 1720107097
Family Medicine organization in Cincinnati, Ohio. Organization record, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1720107097 (Entity type: Organization)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kylie Boggs, OFFICE MANAGER
## Practice location
- **Address:** 7225 COLERAIN AVE, SUITE 103, Cincinnati, OH 45239-5329
- **Phone:** (513) 681-3500 · **Fax:** (513) 681-1391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1720107097) · Data from the CMS NPPES public registry.