Pedim Outreach and Specialty Clinic LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PEDIM OUTREACH AND SPECIALTY CLINIC LLC

Doing business as

MD Sleep Care
MHST
Scofa Sleepcare1 more in Other names

Practice address

1982 N Prospect Ave
Lecanto, FL 34461-9792

Phone

(352) 563-0931

NPI assigned

Sep 6, 2016

Last updated

Jul 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dacelin St MartinNPI 1457392136

Title

Owner

Phone

(352) 527-6888

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 4

• MD Sleep Care Doing business as
• MHST Doing business as
• SCOFA SLEEPCARE Doing business as
• SLEEP CLINIC OF AMERICA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: dacelin.stmartin.md@org52.direct.charmhealth.com

Practitioners 17

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.

• Dacelin St Martin, MD

  • Internal Medicine Physician
  • Lecanto, FL
  • NPI 1457392136
  Medicare reassignment Care Compare group NPD Authorized official
• Youssef Khalil Khodor, DO

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1437155017
  Medicare reassignment Care Compare group NPD
• Tamra Renae Assumpcao, P.A.-C

  • Medical Physician Assistant
  • Lecanto, FL
  • NPI 1316119514
  Medicare reassignment NPD
• Dennay Burgess, MD

  • Family Medicine Physician
  • Lecanto, FL
  • NPI 1669038089
  Medicare reassignment NPD
• Myriam Beatriz Cruz-Calderon,, MD

  • Internal Medicine Physician
  • Lecanto, FL
  • NPI 1053379271
  Medicare reassignment NPD
• Bambi Ann Heyer, ARNP

  • Family Nurse Practitioner
  • Crystal River, FL
  • NPI 1982011706
  Medicare reassignment NPD
• Sarah Joerres, PA-C

  • Physician Assistant
  • Lecanto, FL
  • NPI 1447615109
  Medicare reassignment NPD
• Atenas Alejandra Martinez Bernal, MD

  • General Practice Physician
  • Inverness, FL
  • NPI 1912401266
  Medicare reassignment NPD
• Ann Marie O'Shall, APRN FNP BC-C

  • Family Nurse Practitioner
  • Lecanto, FL
  • NPI 1174156855
  Medicare reassignment NPD
• Ariana Samaroo-Wilson

  • Family Medicine Physician
  • Lecanto, FL
  • NPI 1124768676
  Medicare reassignment NPD
• David Strang

  • Medical Physician Assistant
  • Lecanto, FL
  • NPI 1396454344
  Medicare reassignment NPD
• Brenda Hayden-Brown, ARNP

  • Family Nurse Practitioner
  • Lecanto, FL
  • NPI 1801062583
  Medicare reassignment

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1851848097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931",
            "fax_number": "352-563-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-563-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 E Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533207",
            "country_code": "US",
            "telephone_number": "352-527-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIM OUTREACH AND SPECIALTY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "ST MARTIN",
        "authorized_official_first_name": "DACELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-527-6888"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103596200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MD Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCOFA SLEEPCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SLEEP CLINIC OF AMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric and Internal Medicine Specialists Inc (PedIM Healthcare)
• Pediatric and Internal Medicine Specialists Inc
• Pediatric and Internal Medicine Specialists Inc (Scofa Sleepcare)
• Pediatric and Internal Medicine Specialists, PA
• Pedim Outreach and Specialty Clinic LLC
• Darrell L Peters
• Andrew J Petrella, MD
• Chris Pilon
• John E Popp, MD
• Austin Primis, D.O.

• Sleep Disorder Diagnostic Clinic/Center in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Sleep Disorder Diagnostic Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.