Active NPI
Pediatric Specialists LLC
- Pediatric Gastroenterology Physician
- Henderson, KY
National Provider Identifier
1184789364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 27410
- Legal business name
- PEDIATRIC SPECIALISTS LLC
- Practice address
- 505 Klutey Park Plaza Dr
Henderson, KY 42420-5224 - Phone
- (270) 830-0313
- Fax
- (270) 830-7117
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Iyad Aljabi, MD
- Title
- Prestident
- Phone
- (270) 830-0313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 27411 | KY | |
| Pediatric Gastroenterology Physician | 2080P0206X | 27410 | KY | Primary |
Addresses
Primary practice location
505 Klutey Park Plaza Dr
Henderson, KY 42420-5224
Mailing address
505 Klutey Park Plaza Dr
Henderson, KY 42420-5224
Phone (270) 830-0313
National Provider Directory
National Provider DirectoryLocations
505 Klutey Park Plaza Dr
Henderson, KY 42420
Phone (270) 830-0313
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Henderson, KY
- NPI 1518908243
-
- Pediatric Gastroenterology Physician
- Henderson, KY
- NPI 1376584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1184789364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 KLUTEY PARK PLAZA DR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424205224",
"telephone_number": "270-830-0313",
"fax_number": "270-830-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 KLUTEY PARK PLAZA DR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424205224",
"telephone_number": "270-830-0313",
"fax_number": "270-830-7117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ALJABI",
"authorized_official_first_name": "IYAD",
"authorized_official_title_or_position": "PRESTIDENT",
"authorized_official_telephone_number": "270-830-0313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KY",
"license": "27411",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "KY",
"license": "27410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.