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GOLD STAR PEDIATRICS PA
NPI 1669129342
Pediatrics - Neonatal-Perinatal Medicine in North Port, FL

Active since March 03, 2022CLIA 10D2259933 · Waiver
3149 BOBCAT VILLAGE CENTER RD # 14, NORTH PORT, FL 34288(732) 309-1292 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2023, Mar 3, 2022 (2 updates tracked since 2022).

About Gold Star Pediatrics Pa NPPES

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

GOLD STAR PEDIATRICS PA (NPI 1669129342) is a healthcare organization registered as a neonatal-perinatal medicine in North Port, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 11, 2028, maintains a secondary practice location in Port Charlotte, and lists Jignesh Bhogilal Patel, President, as its authorized official.

NPPES Registry Identity

NPI1669129342
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameGOLD STAR PEDIATRICS PA
Location Address3149 BOBCAT VILLAGE CENTER RD # 14North Port, FL 34288-8974
Mailing Address1400 Lake Breeze CtNorth Port, FL 34291-8023 · (732) 309-1292
Phone(732) 309-1292
Organization SubpartNo
Authorized OfficialJignesh Bhogilal PatelPresident · (941) 266-5629
Enumeration DateMarch 3, 2022
Last NPPES UpdateJanuary 14, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2023
✔ NPI 1669129342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X
3149 BOBCAT VILLAGE CENTER RD # 14, North Port, FL 34288
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Secondary Practice Location 1

Location 12500 Harbor BlvdPort Charlotte, FL 33952-5000 · Phone (941) 266-5629 · Fax (941) 200-4242

Other Identifiers 2

Other1003082280FL · Npi
Medicaid281244400FL

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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.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 10D2259933

Gold Star Pediatrics, PA · North Port, FL
Active · expires May 11, 2028
CLIA Number10D2259933
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorJignesh Patel
Laboratory Phone(732) 309-1292
Laboratory LocationGold Star Pediatrics, PA3149 Bobcat Village Center Rd, North Port, FL 34288
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gold Star Pediatrics PA's NPI number?

The NPI number for Gold Star Pediatrics PA is 1669129342. It was assigned to this organization in the NPPES registry on March 3, 2022.

Where is Gold Star Pediatrics PA located?

Gold Star Pediatrics PA is located at 3149 Bobcat Village Center Rd # 14, North Port, FL 34288. The listed phone number is (732) 309-1292.

What is Gold Star Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Does Gold Star Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2259933) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gold Star Pediatrics PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Gold Star Pediatrics PA 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 Gold Star Pediatrics PA was last updated on January 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.