PEDIATRIC ASSOCIATES OF TAMPA BAY, INC
NPI 1649618299
Pediatrics in Riverview, FL

Active since June 05, 2013CLIA 10D2088062 · Certificate of Compliance
11260 SULLIVAN STREET, RIVERVIEW, FL 33578(813) 689-7571(813) 654-8129 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 25, 2020, Aug 6, 2018 (2 updates tracked since 2018).

  • Organization
  • Pediatrics
  • CLIA Number: 10D2088062
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-25-2027

About PEDIATRIC ASSOCIATES OF TAMPA BAY, INC

This page provides the complete NPI Profile along with additional information for Pediatric Associates Of Tampa Bay, Inc, a pediatrician established in Riverview, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1649618299 assigned on June 2013. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Peter J Shulman Md (President/ceo)

NPI
1649618299 Verify this NPI
Provider Name
PEDIATRIC ASSOCIATES OF TAMPA BAY, INC
Entity Type
Organization
Location Address
11260 SULLIVAN STREET RIVERVIEW, FL 33578
Location Phone
(813) 689-7571
Location Fax
(813) 654-8129
Mailing Address
900 S PINE ISLAND RD 800 PLANTATION, FL 33324
Mailing Phone
(954) 967-6400
Mailing Fax
(954) 965-7339
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-05-2013
Last Update Date
08-25-2020
Code Navigator

A pediatrician like Pediatric Associates Of Tampa Bay, Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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. PETER J SHULMAN MD

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(954) 965-7322

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008927600MEDICAID (05)FL 

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
10D2088062
Facility Type
Physician Office
Certificate Effective Date
February 26, 2025
Certificate Expiration Date
February 25, 2027
Laboratory Director
DR. ALISHA F. PINEIRO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pediatric Associates Of Tampa Bay, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649618299, enumerated as an "organization" on June 05, 2013.

The provider is located at 11260 SULLIVAN STREET RIVERVIEW, FL 33578 and the phone number is (813) 689-7571.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.