LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A.
LAKE WALE PEDIATRIC INTERNAL MEDICINE P.A. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1831362805, based in Lake Wales, FL. It is classified under Primary Care Clinic/Center.
Getting there
The practice address on file is 425 S 11TH ST, Lake Wales, FL 33853. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME87271-ME90317 | FL | Primary Care Clinic/Center primary |
This provider holds licence ME87271-ME90317 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0446325013
- Enrollment ID
- O20080815000321
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1831362805 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 10, 2008 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
425 S 11TH ST Lake Wales, FL 33853 (863) 676-8935 Fax (863) 679-2691 |
| Other identifiers |
AL 597
· Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 3 | 1 | 3 | 6 | 2 | 8 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 6 | 1 | 6 | 6 | 4 | 8 | 0 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.