Individual provider Active NPI

Gerardo Antonio Pedroza-Sierra, M.D.

  • Primary Care Clinic/Center
  • Ocala, FL
National Provider Identifier
1124026117
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ACN631 Issued in FL
Practice address
1714 SW 17TH St Ste 450
Ocala, FL 34471-1227
Phone
(352) 509-9900
Fax
(352) 304-5844
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15516 PR
Primary Care Clinic/Center 261QP2300X ACN631 FL Primary

Addresses

Primary practice location

1714 SW 17TH St Ste 450
Ocala, FL 34471-1227

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439

Other identifiers 3

IdentifierTypeStateIssuer
9120272OtherPRHUMANA HEALTH PLAN
9120272OtherPRHUMANA INSURANCE
9120272OtherPRHUMANA GOLD CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000564 FL Practitioner - General Practice 6800822255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15516PRMDCommunity Health Registered Nurse
ACN631FLMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC Primary Care CurrentSince Oct 7, 2019 Accepting new patients
Vega Baja Community Health Past Accepting new patients
Vega Alta Community Health Past Accepting new patients
Dr. Gerardo Antonio Pedroza Sierra Primary Care PastSince Mar 1, 2005 Accepting new patients
Island Doctors Intrastate LLC Primary Care PastSince Feb 5, 2021 Accepting new patients

Locations

6090 26th St W
Bradenton, FL 34207
Phone (941) 218-2353

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

1714 SW 17th St
Ste 450
Ocala, FL 34471
Phone (352) 509-9900

1714 SW 17th St
Ocala, FL 34471
Phone (352) 274-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gerardo.pedroza@sl.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1124026117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "727-322-3439",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST STE 450",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711227",
            "telephone_number": "352-509-9900",
            "fax_number": "352-304-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA-SIERRA",
        "first_name": "GERARDO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15516",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ACN631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "9120272",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "9120272",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "9120272",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.