Organization Active NPI

Doctors Inlet Pediatrics & Primary Care, PA

Doing business as Doctors Inlet Internal Medicine, Spine & Pain

  • Internal Medicine Physician
  • Middleburg, FL
National Provider Identifier
1518980937
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA
Doing business as
Doctors Inlet Internal Medicine, Spine & Pain
Doctors Inlet Pediatrics and Primary Care, PA
Practice address
430 College Dr Ste 104-106
Middleburg, FL 32068-8530
Phone
(904) 298-1994
Fax
(904) 298-1973
NPI assigned
Jul 26, 2006
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Milind V TilakNPI 1316960735
Title
Physician
Phone
(904) 298-1994

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X
Internal Medicine Physician 207R00000X Primary
Interventional Pain Medicine Physician 208VP0014X

Addresses

Primary practice location

430 College Dr Ste 104-106
Middleburg, FL 32068-8530

Mailing address

430 College Dr Ste 104-106
Middleburg, FL 32068-8530
Phone (904) 298-1994

Other identifiers 3

IdentifierTypeStateIssuer
2941225OtherFLAETNA GROUP ID
K6020OtherFLMEDICARE GROUP
94792OtherFLBC/BS

Other names 2

  • DOCTORS INLET INTERNAL MEDICINE, SPINE & PAIN Doing business as
  • DOCTORS INLET PEDIATRICS AND PRIMARY CARE, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040816001164 FL Part B Supplier - Clinic/Group Practice 6901879170 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL; Middleburg, FL
O20160721002783 FL DME Supplier - Physician - Family Practice 6901879170 1 other NPI on this enrollment
Practice locations: Middleburg, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2569 County Road 220
Ste 204
Middleburg, FL 32068
Phone (904) 298-1994

430 College Dr
Ste 100102104106
Middleburg, FL 32068
Phone (904) 298-1994

430 College Dr
Ste 104
Middleburg, FL 32068

430 College Dr
Ste 104106
Middleburg, FL 32068
Phone (904) 298-1994

Practitioners & affiliated clinicians

Practitioners 5

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1518980937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR STE 104-106",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688530",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 COLLEGE DR STE 104-106",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688530",
            "telephone_number": "904-298-1994",
            "fax_number": "904-298-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS INLET PEDIATRICS & PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "TILAK",
        "authorized_official_first_name": "MILIND",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-298-1994"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP ID",
            "identifier": "2941225",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K6020",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "94792",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS INLET INTERNAL MEDICINE, SPINE & PAIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOCTORS INLET INTERNAL MEDICINE, SPINE & PAIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOCTORS INLET PEDIATRICS AND PRIMARY CARE, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.