NPIMap

Individual provider Active NPI

Husam Habboub, M. D.

  • Vascular & Interventional Radiology Physician
  • Lakeland, FL
National Provider Identifier
1477534527
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME88762 Issued in FL
Practice address
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone
(863) 688-2334
NPI assigned
Nov 7, 2005
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME88762 FL Primary
Diagnostic Radiology Physician 2085R0202X ME88762 FL

Addresses

Primary practice location

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Mailing address

2115 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 688-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050725000110 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2163459975 Reassigns benefits to 4 organizations
I20250817000109 DE Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2163459975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
85
Improvement activities
40
Cost
74.49

Merit-based Incentive Payment System (MIPS)

Final score
71.5 of 100Reported as group
Quality
66.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Feb 1, 2016 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 2, 2023 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology Current Accepting new patients
Manatee Memorial Hospital L P CurrentSince Apr 1, 2018 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Mar 18, 2020 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients
Manatee Memorial Hospital LP CurrentSince Apr 1, 2018 Accepting new patients
Radiology & Imaging Specialists of Lakeland, PA Diagnostic Radiology PastSince Dec 29, 2024 Accepting new patients
Consulting Radiologists Corporation Diagnostic Radiology Past Accepting new patients
Vascular Specialists of Lakeland, LLC 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

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

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) 281-9390

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

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.