Individual provider Active NPI

Jacobo Noel Lama, MD

  • Family Medicine Physician
  • Haines City, FL
National Provider Identifier
1285716456
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64989 Issued in FL
Practice address
101 S Dixie Dr
Haines City, FL 33844
Phone
(863) 421-1190
Fax
(863) 422-7393
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64989 FL Primary

Addresses

Primary practice location

101 S Dixie Dr
Haines City, FL 33844

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (863) 421-1190

Other identifiers 1

IdentifierTypeStateIssuer
373686500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000900 FL Practitioner - Family Practice 2668647199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians

Practice addresses (Care Compare)

3240 S Florida Ave
Lakeland, FL 33803-4574

3242 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 644-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64989FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Physicians, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Orlando Family Physicians, LLC Family Medicine Past Accepting new patients

Locations

101 S Dixie Dr
Haines City, FL 33844
Phone (863) 216-6595

105 S Dixie Dr
Haines City, FL 33844
Phone (863) 421-1190

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

Interoperability endpoints

  • Direct secure messaging: jacobo.lama.1@27472.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1285716456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "863-421-1190",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DIXIE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-421-1190",
            "fax_number": "863-422-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMA",
        "first_name": "JACOBO",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "64989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373686500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.