PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC
NPI 1053747188
Clinic/Center - Primary Care in Gainesville, FL
About Pediatrics & Family Medicine Of Buena Vista , Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRICS & FAMILY MEDICINE OF BUENA VISTA , LLC (NPI 1053747188) is a healthcare organization registered as a primary care in Gainesville, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 25, 2027 and lists Bilal Khodr, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 10D2069518
Pediatrics And Family Medicine Of Buena Vista LLC · Lakeland, FLFrequently 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 Pediatrics & Family Medicine Of Buena Vista , LLC's NPI number?
The NPI number for Pediatrics & Family Medicine Of Buena Vista , LLC is 1053747188. It was assigned to this organization in the NPPES registry on September 20, 2013.
Where is Pediatrics & Family Medicine Of Buena Vista , LLC located?
Pediatrics & Family Medicine Of Buena Vista , LLC is located at 10552 NW 13th Ave, Gainesville, FL 32606. The listed phone number is (678) 570-5063.
What is Pediatrics & Family Medicine Of Buena Vista , LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Pediatrics & Family Medicine Of Buena Vista , LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2069518) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatrics & Family Medicine Of Buena Vista , LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Pediatrics & Family Medicine Of Buena Vista , LLC 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 Pediatrics & Family Medicine Of Buena Vista , LLC was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pediatrics & Family Medicine Of Buena Vista , Llc · NPI 1053747188
Primary Care organization in Gainesville, Florida. Organization record, active in the CMS NPPES registry since September 20, 2013.
## Identity
- **NPI:** 1053747188 (Entity type: Organization)
- **Enumerated:** September 20, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Bilal Khodr, MEDICAL DIRECTOR
## Practice location
- **Address:** 10552 NW 13TH AVE, Gainesville, FL 32606-8088
- **Phone:** (678) 570-5063
## Record status
- **NPPES last updated:** September 20, 2013
- **Other identifiers:** Medicaid 252009500 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053747188) · Data from the CMS NPPES public registry.