Individual provider Active NPI

Lalana Babugowda, MD

  • Family Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1366463390
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109779 Issued in FL
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

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
350135OtherFLAVMED
P01150061OtherFLRAILROAD MEDICARE
004456100MedicaidFL

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
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
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

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 Hospice, Palm Harbor, FL, CCN 101508

National Provider Directory

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

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Oct 21, 2013 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Oct 21, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.