COUNTRYSIDE MEDICAL PA
NPI 1275610362
Internal Medicine in Ocala, FL
About Countryside Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRYSIDE MEDICAL PA (NPI 1275610362) is a healthcare organization registered as an internal medicine in Ocala, Florida and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through September 8, 2027 and lists Kenneth Baruch Lee, Owner President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Countryside Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Countryside Medical PA, 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 (5)
Ocala, FL 34476
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 Accreditation 10D0942818
Countryside Medical · Ocala, 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 Countryside Medical PA's NPI number?
The NPI number for Countryside Medical PA is 1275610362. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Countryside Medical PA located?
Countryside Medical PA is located at 7860 SW 103rd Street Rd Bldg 100 Suite 101, Ocala, FL 34476. The listed phone number is (352) 873-4458.
What is Countryside Medical PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Countryside Medical PA enrolled in Medicare?
Yes. Countryside Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Countryside Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Countryside Medical PA, in Family Practice, Internal Medicine and Nurse Practitioner. 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. 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.
Does Countryside Medical PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D0942818) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Countryside Medical PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) list Countryside Medical 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 Countryside Medical PA was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Countryside Medical Pa · NPI 1275610362
Internal Medicine organization in Ocala, Florida. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1275610362 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Lee, OWNER PRESIDENT
## Practice location
- **Address:** 7860 SW 103RD STREET RD, BLDG 100 SUITE 101, Ocala, FL 34476-8623
- **Phone:** (352) 873-4458 · **Fax:** (352) 873-8116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2023
- **Other identifiers:** Other CG9421
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275610362) · Data from the CMS NPPES public registry.