Samuel Santelices, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME87551 Issued in FL

Practice address

1859 SW Newland Way
Lake City, FL 32025-6966

Phone

(386) 758-0003

Fax

(386) 755-7940

NPI assigned

Jun 8, 2005

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.santelices.p1@direct.nfpeds.nextgenshare.com

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Acute Care Pediatrics of Palm Coast, PA

  • Rural Health Clinic/Center
  • Palm Coast, FL
  • NPI 1225065717

  5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• Acute Care Pediatrics,PA

  • Rural Health Clinic/Center
  • Palatka, FL
  • NPI 1003866732

  5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• North Florida Pediatrics PA

  • Rural Health Clinic/Center
  • Starke, FL
  • NPI 1548758428

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

  CMS ownership
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Jasper, FL
  • NPI 1033114285

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

  CMS ownership
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Live Oak, FL
  • NPI 1558602482

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

  CMS ownership
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Cross City, FL
  • NPI 1770952269

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

  CMS ownership
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Chiefland, FL
  • NPI 1841700507

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

  CMS ownership
• North Florida Pediatrics, PA.

  • Rural Health Clinic/Center
  • Lake City, FL
  • NPI 1376548602

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

  CMS ownership

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

• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Live Oak, FL
  • NPI 1558602482

  Pediatrics

  Medicare reassignment NPD Authorized official
• Acute Care Pediatrics,PA

  • Rural Health Clinic/Center
  • Palatka, FL
  • NPI 1003866732

  Pediatrics

  NPD Authorized official
• North Florida Pediatrics PA

  • Rural Health Clinic/Center
  • Starke, FL
  • NPI 1548758428

  Pediatrics

  NPD Authorized official
• North Florida Pediatrics PA

  • Pediatrics Physician
  • Chiefland, FL
  • NPI 1235808668
  Authorized official Same address or phone
• North Florida Pediatrics PA

  • Pediatrics Physician
  • Cross City, FL
  • NPI 1336818632
  Authorized official Same address or phone
• North Florida Pediatrics PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1457292690
  Authorized official Same address or phone
• North Florida Pediatrics PA

  • Pediatrics Physician
  • Fruit Cove, FL
  • NPI 1821900630
  Authorized official Same address or phone
• North Florida Pediatrics, PA

  • Rural Health Clinic/Center
  • Jasper, FL
  • NPI 1033114285

  Pediatrics

  NPD (past) Authorized official
• North Florida Pediatrics, PA

  • Pediatric Adolescent Medicine Physician
  • Jacksonville, FL
  • NPI 1033768981
  Authorized official Same address or phone
• North Florida Pediatrics, PA

  • Pediatrics Physician
  • Lake City, FL
  • NPI 1124797543
  Authorized official Same address or phone
• North Florida Pediatrics, PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1184116972
  Authorized official Same address or phone
• North Florida Pediatrics, PA

  • Pediatrics Physician
  • Starke, FL
  • NPI 1205505633
  Authorized official Same address or phone

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1669476552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 SW NEWLAND WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256966",
            "telephone_number": "386-758-0003",
            "fax_number": "386-755-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 SW NEWLAND WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256966",
            "telephone_number": "386-758-0003",
            "fax_number": "386-755-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELICES",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME87551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Sanders, PA
• Taylor J Sansone, DPT
• Robert J Sansouci III III
• Marisol Isabel Santamarina, ARNP
• Pamela G Santelices, MD
• Benjamin Malabanan Santos, DPM
• Katie Sapir, AUD
• Ashley Sapp-Edwards
• Lanitra P Sapp
• Glen Rodney Saucier, M.D.

• Pediatrics Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.