PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
NPI 1396805115
Family Medicine in Lecanto, FL
About Pediatric And Internal Medicine Specialists Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC (NPI 1396805115), doing business as Pedim Healthcare, is a healthcare organization registered as a family medicine in Lecanto, Florida and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Dacelin St. Martin, Medical Director/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Secondary Practice Locations 2
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)
Pediatric And Internal Medicine Specialists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Pediatric And Internal Medicine Specialists Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
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 Pediatric And Internal Medicine Specialists Inc's NPI number?
The NPI number for Pediatric And Internal Medicine Specialists Inc is 1396805115. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as PedIM Healthcare.
Where is Pediatric And Internal Medicine Specialists Inc located?
Pediatric And Internal Medicine Specialists Inc is located at 1990 N Prospect Ave, Lecanto, FL 34461. The listed phone number is (352) 527-6888.
What is Pediatric And Internal Medicine Specialists Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pediatric And Internal Medicine Specialists Inc enrolled in Medicare?
Yes. Pediatric And Internal Medicine Specialists Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric And Internal Medicine Specialists Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Pediatric And Internal Medicine Specialists Inc. 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 (8), Family Practice (3) and Internal Medicine (3). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pediatric And Internal Medicine Specialists Inc accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Pediatric And Internal Medicine Specialists Inc 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 Pediatric And Internal Medicine Specialists Inc was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Pediatric And Internal Medicine Specialists Inc · NPI 1396805115
Family Medicine organization in Lecanto, Florida. Organization record, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1396805115 (Entity type: Organization)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PedIM Healthcare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dacelin St. Martin, MEDICAL DIRECTOR/OWNER
## Practice location
- **Address:** 1990 N PROSPECT AVE, Lecanto, FL 34461-9792
- **Phone:** (352) 527-6888 · **Fax:** (352) 527-8818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (3), Internal Medicine (3); 9 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396805115) · Data from the CMS NPPES public registry.