Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447645718 Individual Practitioner Female Practitioner

Dr. Jacqueline Megan Bejtullahu , MD

Pediatrics • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Bejtullahu, MD is a registered healthcare professional specializing in Pediatrics in St Augustine, FL. Practice services are available at 1301 PLANTATION ISLAND DR S STE 404 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Plantation Island Dr S Ste 404

St Augustine, FL 320803118

Telephone 9044611560
Associated Practice Facility / Clinic
🏢 Ancient City Pediatrics Facility NPI 1053598292

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
17 Specialists

Practicing in St Augustine, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL 170502

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 294469

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033273511

Doctor of Medicine (M.D.)

NPI 1720142110

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2025

Pediatrics (License #294469 in NY)

📍
Updated Practice Location December 30, 2024

Registered at 1301 PLANTATION ISLAND DR S STE 404, ST AUGUSTINE, FL 320803118 (Tel: 9044611560)

📍
Updated Business Mailing Address December 30, 2024

Registered at 1301 PLANTATION ISLAND DR S STE 404, ST AUGUSTINE, FL 320803118 (Tel: 9044611560)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location April 17, 2020

Registered at 3424 KOSSUTH AVE, BRONX, NY 104672410 (Tel: 7185193015)

📍
Updated Business Mailing Address April 17, 2020

Registered at 3424 KOSSUTH AVE, BRONX, NY 104672489 (Tel: 7185193015)

👤
Provider Name / Credentials Updated April 17, 2020

Recorded as JACQUELINE BEJTULLAHU, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2020

Pediatrics (License #294469 in NY)

NPI Profile Active April 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2015

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611138 (Tel: 7189183230)

📍
Updated Business Mailing Address April 02, 2015

Registered at 1400 PELHAM PKWY S, BRONX, NY 104611138 (Tel: 3174026673)

👤
Provider Name / Credentials Updated April 02, 2015

Recorded as JACQUELINE REES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jacqueline Bejtullahu. Be the first to share your experience!

Sign in to leave a review for Dr. Jacqueline Bejtullahu

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1447645718
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2015
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1301 Plantation Island Dr S Ste 404

St Augustine, FL 320803118

Phone: 9044611560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.