SANDHILL PEDIATRICS, P.A.
NPI 1902302748
Pediatrics in Lutz, FL
About Sandhill Pediatrics, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDHILL PEDIATRICS, P.A. (NPI 1902302748) is a healthcare organization registered as a pediatrics in Lutz, Florida and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Wendy J Masterman, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandhill Pediatrics, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sandhill Pediatrics, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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
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 10D2148194
Sandhill Pediatrics PA · Lutz, 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 Sandhill Pediatrics, P.A.'s NPI number?
The NPI number for Sandhill Pediatrics, P.A. is 1902302748. It was assigned to this organization in the NPPES registry on April 2, 2018.
Where is Sandhill Pediatrics, P.A. located?
Sandhill Pediatrics, P.A. is located at 21758 State Road 54, Lutz, FL 33549. The listed phone number is (813) 563-6070.
What is Sandhill Pediatrics, P.A.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sandhill Pediatrics, P.A. enrolled in Medicare?
Yes. Sandhill Pediatrics, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sandhill Pediatrics, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sandhill Pediatrics, P.A., in Nurse Practitioner and Pediatric Medicine. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sandhill Pediatrics, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2148194) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sandhill Pediatrics, P.A. was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sandhill Pediatrics, P.a. · NPI 1902302748
Pediatrics organization in Lutz, Florida. Organization record, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1902302748 (Entity type: Organization)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Wendy Masterman, PHYSICIAN
## Practice location
- **Address:** 21758 STATE ROAD 54, Lutz, FL 33549-6921
- **Phone:** (813) 563-6070 · **Fax:** (813) 563-6040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Pediatric Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902302748) · Data from the CMS NPPES public registry.