PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
NPI 1396805115
Family Medicine in Lecanto, FL

NPI Status: Active since December 11, 2006

Contact Information

1990 N PROSPECT AVE
LECANTO, FL
ZIP 34461
Phone: (352) 527-6888
Fax: (352) 527-8818

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 10D2121835
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-14-2026

About PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC

This page provides the complete NPI Profile along with additional information for Pediatric And Internal Medicine Specialists Inc, a primary care provider established in Lecanto, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396805115 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric And Internal Medicine Specialists Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Dacelin St. Martin Md (Medical Director/owner)

NPI
1396805115
Provider Legal Name
PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1990 N PROSPECT AVE LECANTO, FL 34461
Location Phone
(352) 527-6888
Location Fax
(352) 527-8818
Mailing Address
PO BOX 2066 LECANTO, FL 34460
Mailing Phone
(352) 527-6888
Mailing Fax
(352) 527-8818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
02-13-2025
Code Navigator

A primary care provider (PCP) like Pediatric And Internal Medicine Specialists Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 8468 W Periwinkle Ln
    Homosassa, FL 34446
    (352) 628-7270
  • 1980 N Prospect Ave
    Lecanto, FL 34461
    (352) 527-6673

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
3246RM2200XTechnologists, Technicians & Other Technical Service Providers

Technician, Pathology
Medical Laboratory

 
4261Q00000XAmbulatory Health Care Facilities

Clinic/Center

10D1050573 (FL)
5261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
6261QS1200XAmbulatory Health Care Facilities

Clinic/Center
Sleep Disorder Diagnostic

 
7332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DACELIN ST. MARTIN MD

Authorized Official Title
MEDICAL DIRECTOR/OWNER
Authorized Official Phone
(352) 527-6888

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2121835
Facility Type
Physician Office
Certificate Effective Date
November 15, 2024
Certificate Expiration Date
November 14, 2026
Laboratory Director
DACELIN ST MARTIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric And Internal Medicine Specialists Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEDIATRIC AND INTERNAL MEDICINE SPECIALISTS INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396805115, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 6 + 0 + 1 + 0 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1396805115.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461
Massage Therapist
1990 N PROSPECT AVE
LECANTO, FL 34461
Clinic/Center (Rural Health)
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant (Medical)
1990 N PROSPECT AVE
LECANTO, FL 34461
Family Medicine (Sleep Medicine)
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461
Clinic/Center (Multi-Specialty)
1990 N PROSPECT AVE
LECANTO, FL 34461
Family Medicine
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant (Medical)
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant
1990 N PROSPECT AVE
LECANTO, FL 34461
General Practice
1990 N PROSPECT AVE
LECANTO, FL 34461
Pediatrics
1990 N PROSPECT AVE
LECANTO, FL 34461
Internal Medicine (Sleep Medicine)
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461
Nurse Practitioner (Family)
1990 N PROSPECT AVE
LECANTO, FL 34461
Physician Assistant (Medical)
1990 N PROSPECT AVE
LECANTO, FL 34461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396805115, enumerated as an "organization" on December 11, 2006.

The provider is located at 1990 N PROSPECT AVE LECANTO, FL 34461 and the phone number is (352) 527-6888.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.