ACUTE CARE PEDIATRICS,PA
NPI 1003866732
Clinic/Center - Rural Health in Palatka, FL

Active since May 11, 2006CLIA 10D0992627 · Waiver
1301 REID ST, PALATKA, FL 32177(386) 328-5437(386) 447-7348 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Aug 26, 2020 (2 updates tracked since 2020).

About Acute Care Pediatrics,pa NPPES

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

ACUTE CARE PEDIATRICS,PA (NPI 1003866732) is a healthcare organization registered as a rural health in Palatka, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Samuel Santelices, President, as its authorized official.

NPPES Registry Identity

NPI1003866732
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameACUTE CARE PEDIATRICS,PA
Location Address1301 REID STPalatka, FL 32177-3237
Mailing Address1859 Sw Newland WayLake City, FL 32025-6966 · (386) 758-0003 · Fax (386) 755-4432
Fax(386) 447-7348
Organization SubpartNo
Authorized OfficialSamuel SantelicesPresident · (352) 281-2993
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1003866732 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 · License ME075674 (FL)
1301 REID ST, Palatka, FL 32177

Other Identifiers 2

Medicaid660218500FL
Other0040XFL · Bcbs Of Florida

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Acute Care Pediatrics,pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Acute Care Pediatrics,pa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1154326585
1 FLORIDA PARK DR N
Palm Coast, FL 32137
(904) 728-6934
✔ PECOS27 mi

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

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 10D0992627

Acute Care Pediatrics PA · Palatka, FL
Active · expires Oct 21, 2027
CLIA Number10D0992627
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorDwight L. Tiu
Laboratory Phone(386) 328-5437
Laboratory LocationAcute Care Pediatrics PA1301 Reid St, Palatka, FL 32177
CLIA data matches this NPI record on: Address Name Phone
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 Acute Care Pediatrics,pa's NPI number?

The NPI number for Acute Care Pediatrics,pa is 1003866732. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Acute Care Pediatrics,pa located?

Acute Care Pediatrics,pa is located at 1301 Reid St, Palatka, FL 32177. The listed phone number is (386) 328-5437.

What is Acute Care Pediatrics,pa's specialty?

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

Is Acute Care Pediatrics,pa enrolled in Medicare?

Yes. Acute Care Pediatrics,pa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acute Care Pediatrics,pa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Acute Care Pediatrics,pa. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Acute Care Pediatrics,pa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992627) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Acute Care Pediatrics,pa accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Acute Care 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 Acute Care Pediatrics,pa was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.