BETHSAIDA HEALTHCARE SYSTEM INC
NPI 1003385055
Family Medicine - Adult Medicine in Wildwood, FL

Active since November 20, 2018
2986 COUNTY ROAD 503, WILDWOOD, FL 34785(352) 753-2224(353) 753-0833 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Nov 20, 2018 (2 updates tracked since 2018).

About Bethsaida Healthcare System Inc NPPES

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

BETHSAIDA HEALTHCARE SYSTEM INC (NPI 1003385055) is a healthcare organization registered as an adult medicine in Wildwood, Florida and active in the NPI registry since November 2018. The organization lists Felix C Agbo, Owner, as its authorized official.

NPPES Registry Identity

NPI1003385055
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameBETHSAIDA HEALTHCARE SYSTEM INC
Location Address2986 COUNTY ROAD 503Wildwood, FL 34785-8013
Mailing Address910 Old Camp Rd Ste 144The Villages, FL 32162-5609 · (352) 753-2224 · Fax (353) 753-0833
Fax(353) 753-0833
Organization SubpartNo
Authorized OfficialFelix C AgboOwner · (352) 753-2224
Enumeration DateNovember 20, 2018
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1003385055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2986 COUNTY ROAD 503, Wildwood, FL 34785

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethsaida Healthcare System Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Bethsaida Healthcare System Inc, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Internal Medicine5
Family Practice2

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1033823265
340 HEALD WAY STE 208
The Villages, FL 32163
(352) 399-7301
✔ PECOS✔ Accepts Medicare5.7 mi
Internal Medicine
NPI 1548767577
910 OLD CAMP RD STE 144
The Villages, FL 32162
(305) 608-9624
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1659449817
910 OLD CAMP RD STE 144
The Villages, FL 32162
(352) 753-2224
✔ PECOS7.7 mi
Internal Medicine
NPI 1215145610
910 OLD CAMP RD SUITE 144
The Villages, FL 32162
(352) 753-2224
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1720175474
910 OLD CAMP RD STE 144
The Villages, FL 32162
(352) 753-2224
✔ PECOS7.9 mi
Nurse Practitioner
NPI 1033600770
900 HIGHWAY 466
Lady Lake, FL 32159
(872) 231-3162
✔ PECOS9.0 mi
Family Practice
NPI 1538629159
1580 SANTA BARBARA BLVD
The Villages, FL 32159
(305) 846-2397
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1134774896
1575 SANTA BARBARA BLVD
The Villages, FL 32159
(844) 884-9355
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1508572322
3235 SW 34TH ST STE 101
Ocala, FL 34474
(800) 457-4573
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1366973182
7601 CONROY WINDERMERE RD STE 203
Orlando, FL 32835
(407) 610-8457
✔ PECOS✔ Accepts Medicare38 mi
Internal Medicine
NPI 1609869833
3574 US HIGHWAY 1 S STE 102
Saint Augustine, FL 32086
(904) 217-7161
✔ PECOS✔ Accepts Medicare80 mi
Family Practice
NPI 1487183968
701 6TH ST S
St Petersburg, FL 33701
(813) 474-9804
✔ PECOS✔ Accepts Medicare80 mi
Internal Medicine
NPI 1730269689
600 GRESHAM DR # 5
Norfolk, VA 23507
(757) 388-3198
✔ PECOS✔ Accepts Medicare647 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bethsaida Healthcare System Inc's NPI number?

The NPI number for Bethsaida Healthcare System Inc is 1003385055. It was assigned to this organization in the NPPES registry on November 20, 2018.

Where is Bethsaida Healthcare System Inc located?

Bethsaida Healthcare System Inc is located at 2986 County Road 503, Wildwood, FL 34785. The listed phone number is (352) 753-2224.

What is Bethsaida Healthcare System Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Bethsaida Healthcare System Inc enrolled in Medicare?

Yes. Bethsaida Healthcare System Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethsaida Healthcare System Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Bethsaida Healthcare System Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (5) and Family Practice (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bethsaida Healthcare System Inc was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.