NPIMap

Organization Active NPI

Heartland Pediatric Associates, P.a.

  • Rural Health Clinic/Center
  • Sebring, FL
National Provider Identifier
1285650937
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HEARTLAND PEDIATRIC ASSOCIATES, P.A.
Practice address
7215 US Hwy 7 N
Sebring, FL 33870
Phone
(863) 452-1818
Fax
(863) 452-6544
NPI assigned
Jul 14, 2006
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Dr. Navin D Deshpande, M.D.NPI 1982653341
Title
President/Owner
Phone
(863) 452-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

7215 US Hwy 7 N
Sebring, FL 33870

Mailing address

7215 US Hwy 7 N
Sebring, FL 33870
Phone (863) 452-1818

Other identifiers 5

IdentifierTypeStateIssuer
113935100MedicaidFL
660018200RMedicaidFL
98720OtherFLBLUECROSS BLUE SHIELD OF FLORIDA
660018200MedicaidFL
054605400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110000811 FL Part A Provider - Rural Health Clinic 3476748906 Practice locations: Sebring, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285650937. Details of each certification follow.

Rural health clinic certification: CCN 103856

Legal name
HEARTLAND PEDIATRIC ASSOCIATES P.A.
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 9, 1994
Last certification
Jul 16, 2019
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Aug 11, 1992 in FL
Enrollment address
7215 US Highway 27 N
Sebring, FL 33870-1051

National Provider Directory

National Provider Directory

Locations

2523 US Highway 27 S
Ste 100
Avon Park, FL 33825
Phone (863) 452-1818

7215 US 27 N
Sebring, FL 33870
Phone (863) 452-1818

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Reena Reddy Individual 5% Or Greater Direct Ownership InterestOwner Sep 21, 2020 100%
W-2 Managing EmployeeOwner Sep 21, 2020 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Reena Reddy, MD
    • Pediatrics Physician
    • Canton, MI
    • NPI 1922299825

    5% Or Greater Direct Ownership Interest, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1285650937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 US HWY 7 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "863-452-1818",
            "fax_number": "863-452-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 US HWY 7 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "863-452-1818",
            "fax_number": "863-452-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PEDIATRIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "863-452-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113935100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660018200R",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD OF FLORIDA",
            "identifier": "98720",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660018200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054605400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.