SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC
NPI 1104311315
Family Medicine in Summerfield, FL
About Santos Primary Care Medical Clinics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTOS PRIMARY CARE MEDICAL CLINICS, PLLC (NPI 1104311315) is a healthcare organization registered as a family medicine in Summerfield, Florida and active in the NPI registry since June 2018. The organization maintains a secondary practice location in The Villages and lists Adamastor Santos, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santos Primary Care Medical Clinics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Santos Primary Care Medical Clinics, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Santos Primary Care Medical Clinics, PLLC's NPI number?
The NPI number for Santos Primary Care Medical Clinics, PLLC is 1104311315. It was assigned to this organization in the NPPES registry on June 29, 2018.
Where is Santos Primary Care Medical Clinics, PLLC located?
Santos Primary Care Medical Clinics, PLLC is located at 17820 SE 109th Ave Ste 108, Summerfield, FL 34491. The listed phone number is (352) 448-6469.
What is Santos Primary Care Medical Clinics, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Santos Primary Care Medical Clinics, PLLC enrolled in Medicare?
Yes. Santos Primary Care Medical Clinics, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santos Primary Care Medical Clinics, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Santos Primary Care Medical Clinics, PLLC. 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 (3) and Emergency Medicine (1). Of these, 2 practice at this address and 3 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 Santos Primary Care Medical Clinics, PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Santos Primary Care Medical Clinics, Pllc · NPI 1104311315
Family Medicine organization in Summerfield, Florida. Organization record, active in the CMS NPPES registry since June 29, 2018.
## Identity
- **NPI:** 1104311315 (Entity type: Organization)
- **Enumerated:** June 29, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Adamastor Santos, PROVIDER
## Practice location
- **Address:** 17820 SE 109TH AVE STE 108, Summerfield, FL 34491-8968
- **Phone:** (352) 448-6469 · **Fax:** (352) 504-0901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Emergency Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104311315) · Data from the CMS NPPES public registry.