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POLK PEDIATRICS
NPI 1376689711
Pediatrics in Bartow, FL

Active since January 30, 2007CLIA 10D0965336 · Waiver
1265 E MAIN ST, BARTOW, FL 33830(863) 534-3737(863) 533-6323 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polk Pediatrics NPPES

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

POLK PEDIATRICS (NPI 1376689711) is a healthcare organization registered as a pediatrics in Bartow, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Ananthakrishna Pillai, Doctor, as its authorized official.

NPPES Registry Identity

NPI1376689711
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePOLK PEDIATRICS
Location Address1265 E MAIN STBartow, FL 33830-5006
Mailing Address1265 E Main StBartow, FL 33830-5006 · (863) 534-3737 · Fax (863) 533-6323
Phone(863) 534-3737
Fax(863) 533-6323
Organization SubpartNo
Authorized OfficialAnanthakrishna PillaiDoctor · (863) 534-3737
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMarch 28, 2014
✔ NPI 1376689711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME0029864
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1265 E MAIN ST, Bartow, FL 33830
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Other Identifiers 2

Medicaid067708600FL
Other59264FL · Bcbs Id #

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare and more.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 10D0965336

Polk Pediatrics · Bartow, FL
Active · expires Sep 19, 2027
CLIA Number10D0965336
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorAnanth K. Pillai
Laboratory Phone(941) 534-3737
Laboratory LocationPolk Pediatrics1265 E Main Street, Bartow, FL 33830
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANANTH K PILLAI MD
Pediatrics
1265 E MAIN ST
BARTOW, FL 33830
Polk County (863) 534-3737
PHIMAGHAM SRIRAMULU PREMKANTH M.D.
Pediatrics
1265 E MAIN ST
BARTOW, FL 33830
Polk County (863) 534-3737
DR. BIBITA PETER MD
Pediatrics
1265 E MAIN ST
BARTOW, FL 33830
Polk County (863) 534-3737
KATHERINE PADINJATH
Nurse Practitioner (Family)
1265 E MAIN ST
BARTOW, FL 33830
Polk County (863) 534-3737

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 Polk Pediatrics's NPI number?

The NPI number for Polk Pediatrics is 1376689711. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Polk Pediatrics located?

Polk Pediatrics is located at 1265 E Main St, Bartow, FL 33830. The listed phone number is (863) 534-3737.

What is Polk Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Polk Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0965336) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Polk Pediatrics accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Wellpoint list Polk Pediatrics 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 Polk Pediatrics was last updated on March 28, 2014. 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.