Pediatrics & Family Medicine of Buena Vista , LLC
NPI 1053747188 · Primary Care Clinic/Center · Gainesville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatrics & Family Medicine of Buena Vista , LLC is a Primary Care Clinic/Center organization in Gainesville, FL (NPI 1053747188).
Provider details
- NPI number
- 1053747188
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bilal Khodr, Medical Director(352) 213-1243
- License
- ME0072652 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-20
- Last updated
- 2013-09-20
Frequently asked questions
- What is Pediatrics & Family Medicine of Buena Vista , LLC's NPI number?
- Pediatrics & Family Medicine of Buena Vista , LLC's National Provider Identifier (NPI) is 1053747188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatrics & Family Medicine of Buena Vista , LLC?
- Pediatrics & Family Medicine of Buena Vista , LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatrics & Family Medicine of Buena Vista , LLC located?
- Pediatrics & Family Medicine of Buena Vista , LLC's practice location on file with NPPES is 10552 Nw 13th Ave, Gainesville, FL 32606-8088.
- What is Pediatrics & Family Medicine of Buena Vista , LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatrics & Family Medicine of Buena Vista , LLC is (678) 570-5063.
- Does Pediatrics & Family Medicine of Buena Vista , LLC accept Medicare?
- Pediatrics & Family Medicine of Buena Vista , LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatrics & Family Medicine of Buena Vista , LLC?
- The authorized official listed on Pediatrics & Family Medicine of Buena Vista , LLC's NPPES record is Bilal Khodr, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatrics & Family Medicine of Buena Vista , LLC's NPI active?
- Yes — Pediatrics & Family Medicine of Buena Vista , LLC's NPI (1053747188) is active in the NPPES registry as of the last update on 2013-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.