LAKESHORE PEDIATRICS ANNEX
NPI 1043260490
Pediatrics in West Palm Beach, FL
About Lakeshore Pediatrics Annex NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESHORE PEDIATRICS ANNEX (NPI 1043260490) is a healthcare organization registered as a pediatrics in West Palm Beach, Florida and active in the NPI registry since May 2006. The organization lists Michael F Gervasi, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
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)
Lakeshore Pediatrics Annex is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Lakeshore Pediatrics Annex, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 50Source: 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 Florida Community Health Centers Inc's NPI number?
The NPI number for Florida Community Health Centers Inc is 1043260490. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is also known as Lakeshore Pediatrics Annex.
Where is Florida Community Health Centers Inc located?
Florida Community Health Centers Inc is located at 4450 S Tiffany Dr, West Palm Beach, FL 33407. The listed phone number is (561) 844-9443.
What is Florida Community Health Centers Inc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Florida Community Health Centers Inc enrolled in Medicare?
Yes. Florida Community Health Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Florida Community Health Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 11 Medicare specialties reassign their Medicare billing to Florida Community Health Centers 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 (23), Pediatric Medicine (6) and Family Practice (5). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Florida Community Health Centers Inc accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Community Health Centers Inc 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 Florida Community Health Centers Inc was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Lakeshore Pediatrics Annex · NPI 1043260490
Pediatrics organization in West Palm Beach, Florida. Organization record, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1043260490 (Entity type: Organization)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Florida Community Health Centers Inc
- **Organization subpart:** No
- **Authorized official:** Michael Gervasi, PRESIDENT & CEO
## Practice location
- **Address:** 4450 S TIFFANY DR, West Palm Beach, FL 33407-3241
- **Phone:** (561) 844-9443 · **Fax:** (561) 844-1013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Pediatric Medicine (6), Family Practice (5); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1043260490/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2011
- **Other identifiers:** Medicaid 029574414 (FL); Medicare OSCAR/certification 101855 (FL); Medicare PIN 00589C (FL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043260490) · Data from the CMS NPPES public registry.