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Bluegrass Pediatrics, LLC

Pediatrics Physician in Paducah, KY · enumerated 2014 · authorized official Trudy Quertermous, Credentialing/Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427478700

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Registry record

Entity type Organization (Type 2)
Legal business name Bluegrass Pediatrics, LLC
Practice address 242 Berger Rd, Paducah, KY, 42003
Fax (270) 554-1108
Enumeration date Apr 24, 2014
Last updated in NPPES Oct 15, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Trudy Quertermous
Title Credentialing/Billing Manager

Other identifiers

Identifier Type State Issuer
7100304720 Medicaid KY -
7100886900 Medicaid KY -
1164425831 Other KY NPI ROACH
1417671041 Other - NPI FELTS
1427478700 Other KY NPI GROUP
64095565 Medicaid KY -
7100483540 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bluegrass Pediatrics, LLC?
Bluegrass Pediatrics, LLC is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-15.