MID-FLORIDA PRIMARY CARE PA
NPI 1235328592
Internal Medicine in Summerfield, FL

Active since October 23, 2007
17809 SE 109TH AVE, MID-FLORIDA PRIMARY CARE PA, SUMMERFIELD, FL 34491(352) 307-4200(352) 307-2520 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid-florida Primary Care Pa NPPES

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

MID-FLORIDA PRIMARY CARE PA (NPI 1235328592) is a healthcare organization registered as an internal medicine in Summerfield, Florida and active in the NPI registry since October 2007. The organization lists Ravi P Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1235328592
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMID-FLORIDA PRIMARY CARE PA
Location Address17809 SE 109TH AVE, MID-FLORIDA PRIMARY CARE PASummerfield, FL 34491-8912
Mailing Address401 North Blvd WLeesburg, FL 34748-5044 · (352) 728-4242 · Fax (352) 728-4868
Fax(352) 307-2520
Organization SubpartNo
Authorized OfficialRavi P GuptaPresident · (352) 728-4242
Enumeration DateOctober 23, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1235328592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17809 SE 109TH AVE, Summerfield, FL 34491

Other Identifiers 1

Medicare PINK3761FL

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)

Mid-florida Primary Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mid-Florida Primary Care PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1619613437
401 W NORTH BLVD
Leesburg, FL 34748
(352) 728-4242
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1922077338
401 NORTH BLVD W
Leesburg, FL 34748
(352) 728-4242
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1508441890
9836 US HIGHWAY 441
Leesburg, FL 34788
(352) 787-8531
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1144785882
5819 WINDSONG OAK DR
Leesburg, FL 34748
(217) 619-0050
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1003390014
2200 FOWLER GROVE BLVD STE 140
Winter Garden, FL 34787
(352) 728-4242
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1821788209
825 E OAK ST
Kissimmee, FL 34744
(321) 442-8009
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1407783889
5670 58TH AVE N
Saint Petersburg, FL 33709
(323) 540-1974
✔ PECOS90 mi
Interventional Radiology
NPI 1194700823
6150 MANASOTA KEY RD
Englewood, FL 34223
(410) 571-0350
✔ PECOS141 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 Mid-Florida Primary Care PA's NPI number?

The NPI number for Mid-Florida Primary Care PA is 1235328592. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Mid-Florida Primary Care PA located?

Mid-Florida Primary Care PA is located at 17809 SE 109th Ave Mid-Florida Primary Care PA, Summerfield, FL 34491. The listed phone number is (352) 307-4200.

What is Mid-Florida Primary Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mid-Florida Primary Care PA enrolled in Medicare?

Yes. Mid-Florida Primary Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Florida Primary Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mid-Florida Primary Care 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. The largest specialties are Nurse Practitioner (6), Internal Medicine (1) and Interventional Radiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid-Florida Primary Care PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mid-Florida Primary Care 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 Mid-Florida Primary Care PA was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.