Active NPI
Husam Habboub, M. D.
- Vascular & Interventional Radiology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME88762
- Practice address
- 1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542 - Phone
- (863) 688-2334
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
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.
-
- Diagnostic Radiology Physician
- Dover, DE
- NPI 1366214124
DE, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1427049931
FL
-
- Diagnostic Radiology Physician
- Valrico, FL
- NPI 1417423377
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Wesley Chapel, FL
- NPI 1235898529
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Plant City, FL
- NPI 1376238642
Diagnostic Radiology
-
- Radiology Clinic/Center
- Bradenton, FL
- NPI 1558020552
-
- Body Imaging Physician
- Parrish, FL
- NPI 1710347711
-
- Body Imaging Physician
- Bradenton, FL
- NPI 1821458829
-
- Vascular & Interventional Radiology Physician
- Lakeland, FL
- NPI 1063032993
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Kissimmee, FL
- NPI 1124530761
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology and Imaging Specialists of LakelandBayhealth Radiologists LLC
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
640 S State St
Dover, DE 19901-3530
Phone (610) 892-8889
Hospital & facility affiliations
- Lakeland Regional Medical Center
- Bayhealth Medical Center, Kent Campus
- Bayhealth Hospital, Sussex Campus
- Winter Haven Hospital
- Adventhealth Heart of Florida
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.74 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 74.49
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.5 of 100
- Quality
- 66.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050725000110 | FL | Practitioner - Diagnostic Radiology | 2163459975 | Reassigns benefits to 4 organizations |
| I20250817000109 | DE | Practitioner - Diagnostic Radiology | 2163459975 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (13 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Manatee Memorial Hospital L P | Current | Accepting new patients | |
| Women'S Care Florida LLC | Current | Accepting new patients | |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Manatee Memorial Hospital L P | Current | Accepting new patients | |
| Baycare Outpatient Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Manatee Memorial Hospital LP | Current | Accepting new patients | |
| Manatee Memorial Hospital L P | Current | Accepting new patients | |
| Vascular Specialists of Lakeland, LLC | Past | Accepting new patients | |
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Past | Accepting new patients |
| Consulting Radiologists Corporation | Diagnostic Radiology | Past | Accepting new patients |
| Radiology & Imaging Specialists of Lakeland, PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
2102 Trinity Oaks Blvd
#171
Trinity, FL 34655
Phone (727) 376-7734
2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479
16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000
635 1st St N
Ste 101
Winter Haven, FL 33881
Phone (863) 298-3512
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME88762 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME88762 | FL |
Addresses
NPPES NPI RegistryPrimary practice location
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Mailing address
2115 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28652 | Other | FL | BCBS |
| 272093100 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2026.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1477534527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 CRYSTAL GROVE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016875",
"telephone_number": "863-688-2334",
"fax_number": "863-577-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054542",
"telephone_number": "863-688-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABBOUB",
"first_name": "HUSAM",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME88762",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME88762",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28652",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272093100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.