Ut Lebonheur Pediatric Specialists, Inc.
NPI 1093024101 · Pediatrics Physician · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ut Lebonheur Pediatric Specialists, Inc. is a Pediatrics Physician organization in Memphis, TN (NPI 1093024101).
Provider details
- NPI number
- 1093024101
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nyoka Bowman, Supervisor(901) 287-5594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Otolaryngology Physician207YP0228X
Allopathic & Osteopathic Physicians
- Pediatric Allergy/Immunology Physician2080P0201X
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
21 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (20)
- 800 S Church St Ste 104Jonesboro, AR 72401-4154Phone: (870) 336-1778Fax: (870) 366-1780
- 610 Brunson DrTupelo, MS 38804Phone: (901) 287-7337Fax: (901) 448-1813
- 942 Commonwealth BlvdTupelo, MS 38804Phone: (662) 620-0101
- 8001 Centerview ParkwayCordova, TN 38018Phone: (901) 287-7337
- 1920 Kirby ParkwaySte. 100Germantown, TN 38138Phone: (901) 287-7337
- 1535 Vann DrJackson, TN 38305Phone: (731) 984-9944
- 620 Skyline Dr Fl 3Jackson, TN 38301-3923Phone: (866) 870-5570Fax: (731) 541-8187
- 51 N. Dunlap St.2nd FloorMemphis, TN 38105Phone: (901) 287-7337
- 6401 Poplar AveSte. 324Memphis, TN 38119Phone: (901) 287-7337
Registry dates
- Enumerated
- 2010-10-07
- Last updated
- 2023-07-17
- Certified
- 2023-07-17
Frequently asked questions
- What is Ut Lebonheur Pediatric Specialists, Inc.'s NPI number?
- Ut Lebonheur Pediatric Specialists, Inc.'s National Provider Identifier (NPI) is 1093024101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ut Lebonheur Pediatric Specialists, Inc.?
- Ut Lebonheur Pediatric Specialists, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ut Lebonheur Pediatric Specialists, Inc. located?
- Ut Lebonheur Pediatric Specialists, Inc.'s practice location on file with NPPES is 848 Adams Ave., Memphis, TN 38103.
- What is Ut Lebonheur Pediatric Specialists, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ut Lebonheur Pediatric Specialists, Inc. is (901) 287-7337.
- Does Ut Lebonheur Pediatric Specialists, Inc. accept Medicare?
- Ut Lebonheur Pediatric Specialists, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ut Lebonheur Pediatric Specialists, Inc.?
- The authorized official listed on Ut Lebonheur Pediatric Specialists, Inc.'s NPPES record is Nyoka Bowman, Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ut Lebonheur Pediatric Specialists, Inc.'s NPI active?
- Yes — Ut Lebonheur Pediatric Specialists, Inc.'s NPI (1093024101) is active in the NPPES registry as of the last update on 2023-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.