NPIMap

Organization Active NPI

Compassion Pediatrics LLC

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1194066761
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COMPASSION PEDIATRICS LLC
Practice address
4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472
Phone
(407) 203-8957
Fax
(407) 985-1904
NPI assigned
Mar 7, 2013
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lesley Kyle Bow, MDNPI 1356592968
Title
Ceo
Phone
(407) 456-4591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Family Nurse Practitioner 363LF0000X
Pediatric Nurse Practitioner 363LP0200X
Professional Counselor 101YP2500X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472

Mailing address

4445 S Semoran Blvd Ste a
Orlando, FL 32822-2472
Phone (407) 203-8957

Other practice location 1

140 Adams Ln Ste 100
Pikeville, KY 41501-3090
Phone (606) 230-2255

Other identifiers 2

IdentifierTypeStateIssuer
008610700MedicaidFL
7100715220MedicaidKY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2061538Compassion Pediatrics4445 S Semoran Blvd Suite a, Orlando, FL 32822Certificate of waiverJun 30, 2027
18D2209036Compassion Pediatrics140 Adams Lane Suite 100, Pikeville, KY 41501Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

Locations

4445 S Semoran Blvd
Ste A
Orlando, FL 32822
Phone (407) 203-8957

140 Adams Ln
Ste 100
Pikeville, KY 41501
Phone (606) 230-2255

2643 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 230-2255

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1194066761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222472",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222472",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Adams Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013090",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-230-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSION PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "BOW",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-456-4591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008610700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100715220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.