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LEESBURG PEDIATRICS PA
NPI 1003258666
Clinic/Center - Rural Health in Leesburg, FL

Active since July 24, 2013CLIA 10D2065260 · Waiver
8113 CENTRALIA CT, LEESBURG, FL 34788(352) 435-7938(352) 805-4145 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Mar 26, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Leesburg Pediatrics Pa NPPES

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

LEESBURG PEDIATRICS PA (NPI 1003258666) is a healthcare organization registered as a rural health in Leesburg, Florida and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Mohammad Afzal, Owner, as its authorized official.

NPPES Registry Identity

NPI1003258666
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLEESBURG PEDIATRICS PA
Location Address8113 CENTRALIA CTLeesburg, FL 34788-7508
Mailing Address8113 Centralia CtLeesburg, FL 34788-7508 · (352) 435-7938 · Fax (352) 805-4145
Phone(352) 435-7938
Fax(352) 805-4145
Organization SubpartNo
Authorized OfficialMohammad AfzalOwner · (352) 394-3929
Enumeration DateJuly 24, 2013
Last NPPES UpdateJanuary 22, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1003258666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
8113 CENTRALIA CT, Leesburg, FL 34788
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Other Identifiers 1

Medicaid112711800FL

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 Ambetter Health, Ambetter of Alabama, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20140106000597Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2065260

Leesburg Pediatrics · Leesburg, FL
Active · expires Sep 5, 2027
CLIA Number10D2065260
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorMohammad Afzal
Laboratory Phone(562) 395-3929
Laboratory LocationLeesburg Pediatrics8113 Centralia Ct, Suite 103, Leesburg, FL 34788
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Leesburg Pediatrics PA's NPI number?

The NPI number for Leesburg Pediatrics PA is 1003258666. It was assigned to this organization in the NPPES registry on July 24, 2013.

Where is Leesburg Pediatrics PA located?

Leesburg Pediatrics PA is located at 8113 Centralia Ct, Leesburg, FL 34788. The listed phone number is (352) 435-7938.

What is Leesburg Pediatrics PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Leesburg Pediatrics PA enrolled in Medicare?

Yes. Leesburg Pediatrics PA is registered in the Medicare PECOS enrollment system.

When is Leesburg Pediatrics PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Leesburg Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2065260) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Leesburg Pediatrics PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, UnitedHealthcare and Wellpoint list Leesburg Pediatrics PA 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 Leesburg Pediatrics PA was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.