DR. SAMUEL SANTELICES MD
NPI 1669476552
Pediatrics in Lake City, FL

Q: What is Samuel Santelices's NPI number?

The NPI number for Samuel Santelices is 1669476552. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Samuel Santelices's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Santelices was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 08, 2005PECOS Enrolled

1859 SW NEWLAND WAY, LAKE CITY, FL 32025(386) 758-0003(386) 755-7940 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Jan 24, 2017 (2 updates tracked since 2017).

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About Dr. Samuel Santelices Md NPPES

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

DR. SAMUEL SANTELICES MD (NPI 1669476552) is an individual pediatrics provider in Lake City, Florida, licensed in Florida (ME87551) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669476552

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SAMUEL SANTELICESCredential: MD

Location Address1859 SW NEWLAND WAYLake City, FL 32025-6966

Mailing Address1859 Sw Newland WayLake City, FL 32025-6966 · (386) 758-0003 · Fax (386) 755-7940

Phone(386) 758-0003

Fax(386) 755-7940

Sole ProprietorNo

Enumeration DateJune 8, 2005

Last NPPES UpdateJune 18, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1669476552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME87551

Definition

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.

1859 SW NEWLAND WAY, Lake City, FL 32025

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Other Identifiers 1

Medicaid267374600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Santelices Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMNA ZARAR M.D

Pediatrics