Active NPI
Lalana Babugowda, MD
- Family Medicine Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME109779
- Practice address
- 2122 Alt 19 Ste B
Palm Harbor, FL 34683-5357 - Phone
- (727) 942-8900
- Fax
- (727) 942-8989
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036094165 | IL | |
| Family Medicine Physician | 207Q00000X | ME109779 | FL | Primary |
Addresses
Primary practice location
2122 Alt 19 Ste B
Palm Harbor, FL 34683-5357
Mailing address
2122 Alt 19 Ste B
Palm Harbor, FL 34683-5357
Phone (727) 942-8900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350135 | Other | FL | AVMED |
| P01150061 | Other | FL | RAILROAD MEDICARE |
| 004456100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000689 | FL | Practitioner - Family Practice | 7416015300 | 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
Practice addresses (Care Compare)
1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895
2122 US-19 Alt B
Optum Palm Harbor
Palm Harbor, FL 34683-5357
Phone (727) 942-8900
Hospital & facility affiliations
- Suncoast Hospice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Optumcare Florida LLC | Family Medicine | Current | Accepting new patients |
| Trinity Medical Center | Family Medicine | Past | Accepting new patients |
| Bestcare Family & Geriatric Care, P.a. | Past | Accepting new patients | |
| Optumcare Florida Ci, LLC | Past | Accepting new patients |
Locations
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
2122 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (727) 785-1998
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
1200 S Pinellas Ave
Ste 11
Tarpon Springs, FL 34689
Phone (727) 938-0050
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- lalana.babugowda@wellmed.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1821025321
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1366463390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 ALT 19 STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835357",
"telephone_number": "727-942-8900",
"fax_number": "727-942-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 ALT 19 STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835357",
"telephone_number": "727-942-8900",
"fax_number": "727-942-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABUGOWDA",
"first_name": "LALANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036094165",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME109779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "350135",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01150061",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004456100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.