PALM MEDICAL CENTER LAKELAND LLC
NPI 1437650579
Clinic/Center in Lakeland, FL
About Palm Medical Center Lakeland Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM MEDICAL CENTER LAKELAND LLC (NPI 1437650579) is a healthcare organization registered as a clinic/center in Lakeland, Florida and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Santiago Moises Martin, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
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)
Palm Medical Center Lakeland Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Palm Medical Center Lakeland LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 70Source: 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 2
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 10D1008150
Palm Medical Center Lakeland, LLC · Lakeland, FLCertificate of Waiver 10D2152081
Palm Medical Center - Plant City · Plant City, 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 Palm Medical Center Lakeland LLC's NPI number?
The NPI number for Palm Medical Center Lakeland LLC is 1437650579. It was assigned to this organization in the NPPES registry on February 23, 2018.
Where is Palm Medical Center Lakeland LLC located?
Palm Medical Center Lakeland LLC is located at 135 E 1st St, Lakeland, FL 33805. The listed phone number is (863) 686-2728.
What is Palm Medical Center Lakeland LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Palm Medical Center Lakeland LLC enrolled in Medicare?
Yes. Palm Medical Center Lakeland LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Palm Medical Center Lakeland LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 5 Medicare specialties reassign their Medicare billing to Palm Medical Center Lakeland LLC. 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 (34), General Practice (18) and Family Practice (9). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Palm Medical Center Lakeland LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Palm Medical Center Lakeland LLC accept?
Health plans from Wellpoint list Palm Medical Center Lakeland LLC 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 Palm Medical Center Lakeland LLC was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Palm Medical Center Lakeland Llc · NPI 1437650579
Clinic/Center organization in Lakeland, Florida. Organization record, active in the CMS NPPES registry since February 23, 2018.
## Identity
- **NPI:** 1437650579 (Entity type: Organization)
- **Enumerated:** February 23, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Santiago Moises Martin, COO
## Practice location
- **Address:** 135 E 1ST ST, Lakeland, FL 33805-4609
- **Phone:** (863) 686-2728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), General Practice (18), Family Practice (9); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1437650579/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437650579) · Data from the CMS NPPES public registry.