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ST PETER MEDICAL GROUP INC.
NPI 1942795869
Clinic/Center - Primary Care in Kissimmee, FL

Active since June 23, 2018CLIA 10D2151517 · Waiver
339 CYPRESS PKWY STE 110, KISSIMMEE, FL 34759(407) 922-0240(407) 343-5199 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Jul 9, 2018, Jun 23, 2018 (3 updates tracked since 2018).

About St Peter Medical Group Inc. NPPES

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

ST PETER MEDICAL GROUP INC. (NPI 1942795869) is a healthcare organization registered as a primary care in Kissimmee, Florida and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Miriam L Rivera-irizarry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942795869
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST PETER MEDICAL GROUP INC.
Location Address339 CYPRESS PKWY STE 110Kissimmee, FL 34759
Mailing AddressPo Box 582170Kissimmee, FL 34758-0027 · (407) 922-0240
Phone(407) 922-0240
Fax(407) 343-5199
Organization SubpartNo
Authorized OfficialMiriam L Rivera-irizarryCeo · (407) 729-8173
Enumeration DateJune 23, 2018
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1942795869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
339 CYPRESS PKWY STE 110, Kissimmee, FL 34759
Open in Google Maps ↗

Other Identifiers 1

Medicaid1356304828FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Peter Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St Peter Medical Group Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Miriam Rivera Irizarry, M.D.
Internal Medicine
NPI 1356304828
339 CYPRESS PKWY STE 110
Kissimmee, FL 34759
(407) 343-5000
✔ PECOS✔ Accepts MedicareSame address

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 10D2151517

St Peter Medical Group Inc · Kissimmee, FL
Active · expires Jul 19, 2028
CLIA Number10D2151517
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorMiriam L. Rivera-Irizarry
Laboratory Phone(407) 922-0240
Laboratory LocationSt Peter Medical Group Inc339 Cypress Parkway Ste 110, Kissimmee, FL 34759
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 St Peter Medical Group Inc.'s NPI number?

The NPI number for St Peter Medical Group Inc. is 1942795869. It was assigned to this organization in the NPPES registry on June 23, 2018.

Where is St Peter Medical Group Inc. located?

St Peter Medical Group Inc. is located at 339 Cypress Pkwy Ste 110, Kissimmee, FL 34759. The listed phone number is (407) 922-0240.

What is St Peter Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is St Peter Medical Group Inc. enrolled in Medicare?

Yes. St Peter Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Peter Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to St Peter Medical Group Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Peter Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2151517) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Peter Medical Group Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list St Peter Medical Group Inc. 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 St Peter Medical Group Inc. was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.