What is Kidsville Pediatrics I, P.A.'s NPI number?

Kidsville Pediatrics I, P.A.'s National Provider Identifier (NPI) is 1780658294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Kidsville Pediatrics I, P.A.?

Kidsville Pediatrics I, P.A. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Kidsville Pediatrics I, P.A. located?

Kidsville Pediatrics I, P.A.'s practice location on file with NPPES is 2201 North Blvd W, Davenport, FL 33837-8990.

What is Kidsville Pediatrics I, P.A.'s phone number?

The practice phone number listed in the NPPES registry for Kidsville Pediatrics I, P.A. is (863) 419-0688.

Does Kidsville Pediatrics I, P.A. accept Medicare?

Kidsville Pediatrics I, P.A. 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 Kidsville Pediatrics I, P.A.?

The authorized official listed on Kidsville Pediatrics I, P.A.'s NPPES record is Victor Pantoja Jr., Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Kidsville Pediatrics I, P.A.'s NPI active?

Yes — Kidsville Pediatrics I, P.A.'s NPI (1780658294) is active in the NPPES registry as of the last update on 2025-01-22.

OrganizationActiveAccepts Medicare

Kidsville Pediatrics I, P.A.

NPI 1780658294 · General Practice Physician · Davenport, FL

Kidsville Pediatrics I, P.A. is a General Practice Physician organization in Davenport, FL (NPI 1780658294).

Provider details

NPI number: 1780658294
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Victor Pantoja Jr., Administrator(863) 419-0688

Practice location

2201 North Blvd W

Davenport, FL 33837-8990

Phone: (863) 419-0688

Fax: (863) 419-9547

Street-level locationGet directions

More FL providers

Mailing address

2201 North Blvd W

Davenport, FL 33837-8990

Specialties & taxonomies

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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.

Enumerated: 2006-02-14
Last updated: 2025-01-22
Certified: 2025-01-22

Frequently asked questions

What is Kidsville Pediatrics I, P.A.'s NPI number?: Kidsville Pediatrics I, P.A.'s National Provider Identifier (NPI) is 1780658294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Kidsville Pediatrics I, P.A.?: Kidsville Pediatrics I, P.A. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Kidsville Pediatrics I, P.A. located?: Kidsville Pediatrics I, P.A.'s practice location on file with NPPES is 2201 North Blvd W, Davenport, FL 33837-8990.
What is Kidsville Pediatrics I, P.A.'s phone number?: The practice phone number listed in the NPPES registry for Kidsville Pediatrics I, P.A. is (863) 419-0688.
Does Kidsville Pediatrics I, P.A. accept Medicare?: Kidsville Pediatrics I, P.A. 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 Kidsville Pediatrics I, P.A.?: The authorized official listed on Kidsville Pediatrics I, P.A.'s NPPES record is Victor Pantoja Jr., Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Kidsville Pediatrics I, P.A.'s NPI active?: Yes — Kidsville Pediatrics I, P.A.'s NPI (1780658294) is active in the NPPES registry as of the last update on 2025-01-22.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions