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SUSAN SANDOVAL M.D.
NPI 1740286277
Pediatrics in Winter Haven, FL

Active since June 21, 2005PECOS Enrolled
430 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 284-6850(863) 284-6853 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Sandoval M.d. NPPES

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

SUSAN SANDOVAL M.D. (NPI 1740286277) is an individual pediatrics provider in Winter Haven, Florida, licensed in Florida (ME76434) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740286277
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN SANDOVALCredential: M.D.
Location Address430 E CENTRAL AVEWinter Haven, FL 33880-3050
Mailing Address1324 Lakeland Hills Blvd, Medical Staff OfficeLakeland, FL 33805-4543
Phone(863) 284-6850
Fax(863) 284-6853
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1740286277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME76434
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.
430 E CENTRAL AVE, Winter Haven, FL 33880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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)

Susan Sandoval M.d. 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 33880 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 7

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

LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Clinic/Center (Multi-Specialty)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
RAUL ALVAREZ JR. M.D.
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
MS. BRITTNEY L ROBINSON ARNP
Nurse Practitioner (Pediatrics)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
DR. MELISSA BLACKBURN DO
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
ROMANA PETROVICH ARNP
Nurse Practitioner (Pediatrics)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-6850
SHAWNESE MCLEOD APRN
Nurse Practitioner (Family)
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000
DR. ALINA STANICA MD
Pediatrics
430 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 284-5000

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 Susan Sandoval's NPI number?

The NPI number for Susan Sandoval is 1740286277. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Susan Sandoval located?

Susan Sandoval practices at 430 E Central Ave, Winter Haven, FL 33880. The listed phone number is (863) 284-6850.

What is Susan Sandoval's specialty?

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

Is Susan Sandoval enrolled in Medicare?

Yes. Susan Sandoval is registered in the Medicare PECOS enrollment system.

What insurance does Susan Sandoval accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Susan Sandoval 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 Susan Sandoval was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.