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WESTSIDE PEDIATRICS PSC
NPI 1922155407
Pediatrics in Lexington, KY

Active since January 05, 2007
1701 ALEXANDRIA DR, LEXINGTON, KY 40504(859) 277-3490(859) 278-5014 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Westside Pediatrics Psc NPPES

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

WESTSIDE PEDIATRICS PSC (NPI 1922155407) is a healthcare organization registered as a pediatrics in Lexington, Kentucky and active in the NPI registry since January 2007. The organization lists Rebecca G Bosomworth, President, as its authorized official.

NPPES Registry Identity

NPI1922155407
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWESTSIDE PEDIATRICS PSC
Location Address1701 ALEXANDRIA DRLexington, KY 40504-3149
Mailing Address1701 Alexandria DrLexington, KY 40504-3149 · (859) 277-3490 · Fax (859) 278-5014
Phone(859) 277-3490
Fax(859) 278-5014
Organization SubpartNo
Authorized OfficialRebecca G BosomworthPresident · (859) 277-3490
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMarch 6, 2014
✔ NPI 1922155407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 18125
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.
1701 ALEXANDRIA DR, Lexington, KY 40504
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Other Identifiers 1

Medicaid65941155KY

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 Shield.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)

Westside Pediatrics Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Westside Pediatrics Psc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Rebecca Bosomworth, MD
Pediatric Medicine
NPI 1124024708
1701 ALEXANDRIA DR
Lexington, KY 40504
(859) 277-3490
✔ PECOSSame address
Sandra Green, M.D.
Pediatric Medicine
NPI 1700041977
2505 LARKIN RD STE 103
Lexington, KY 40503
(859) 600-1999
✔ PECOS3.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Westside Pediatrics Psc's NPI number?

The NPI number for Westside Pediatrics Psc is 1922155407. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Westside Pediatrics Psc located?

Westside Pediatrics Psc is located at 1701 Alexandria Dr, Lexington, KY 40504. The listed phone number is (859) 277-3490.

What is Westside Pediatrics Psc's specialty?

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

Is Westside Pediatrics Psc enrolled in Medicare?

Yes. Westside Pediatrics Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Westside Pediatrics Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Westside Pediatrics Psc. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Westside Pediatrics Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Westside Pediatrics Psc 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 Westside Pediatrics Psc was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.