Lakeland Regional Health Systems, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Lakeland, FL
NPI 1497748743 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1497748743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 800018020 (FL)
- Legal business name
- LAKELAND REGIONAL HEALTH SYSTEMS, INC.
- Practice address
- 1324 Lakeland Hills Blvd
Finance Department
Lakeland, FL 33805 - Phone
- (863) 687-7251
- Fax
- (863) 687-1473
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Lance Green
- Title
- Senior VP/Cfo
- Phone
- (863) 687-1100
Owned or controlled facilities with NPI records 7
Member organizations 17
Practitioners 765
-
Jibi Abraham, FNP-BC
-
Jaime D Abuan, MD
-
Amber Acosta, PA-C
-
Ruben D Adriano, M.D.
-
Banke Agarwal, MD
-
Imran Ahmad, MD
-
Ali Ahmed, MD
-
Sagheer Rauf Ahmed, M.D
-
Umair Syed Ahmed, M.D.
-
Ailia Welayat Ali, M.D.
-
Shirley Diana Angela Alleyne, M.B.B.S. (M.D.EQUIV)
-
Ahmad Alsarah, MD
-
Richard Frank Alvarez, APRN
-
Farah Amer, MD
-
Amy R Anderson, ARNP
-
Brenda Yamilet Aparicio, ARNP
-
Leyla Margarita Aponte, M.D.
-
Melantha Aye, MD
-
Sandra Giles Ayers, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Baycare Home Care, Inc. |
Home health agency | 5% Or Greater Indirect Ownership Interest (5.9%) | Dec 1, 2021 |
| Baycare Home Care, Inc. |
Home health agency | 5% Or Greater Direct Ownership Interest (5.9%) | Dec 1, 2021 |
| Baycare Home Care, Inc. |
Home health agency | 5% Or Greater Indirect Ownership Interest (5.9%) | Dec 1, 2021 |
| Baycare Home Care, Inc. |
Home health agency | 5% Or Greater Direct Ownership Interest (5.9%) | Dec 1, 2021 |
| Baycare Home Care, Inc. |
Home health agency | 5% Or Greater Direct Ownership Interest (5.9%) | Dec 1, 2021 |
| Baycare Home Care / Lakeland Regional Health |
Home health agency | 5% Or Greater Direct Ownership Interest (5.9%) | Dec 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000384 | FL | Part B Supplier - Clinic/Group Practice | 8325952914 |
Receives reassigned benefits from 755 practitioners Practice locations: Lakeland, FL; Plant City, FL; Venice, FL; Winter Haven, FL; Auburndale, FL; Lake Wales, FL |
| O20190515000302 | FL | MDPP Supplier - in-Person MDPP Supplier | 8325952914 | Practice locations: Lakeland, FL |
National Provider Directory
Locations
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
5101 US Highway 98 S
Lakeland, FL 33812
Phone (863) 284-1662
2815 Lakeland Hills Blvd
Ste 200
Lakeland, FL 33805
Phone (863) 297-5400
1525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 284-6860
230 S Florida Ave
Lakeland, FL 33801
930 Marcum Rd
Ste 10
Lakeland, FL 33809
Phone (863) 284-6800
2625 S Florida Ave
Lakeland, FL 33803
Phone (863) 284-5941
2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250
430 E Central Ave
Winter Haven, FL 33880
Phone (863) 284-5061
250 3rd St NW
Ste 201
Winter Haven, FL 33881
Phone (863) 318-9696
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse |
163WD0400X | |||
| Anesthesiology Physician |
207L00000X | |||
| Nephrology Physician |
207RN0300X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Orthopaedic Trauma Physician |
207XX0801X | |||
| Psychiatry Physician |
2084P0800X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Surgical Critical Care Physician |
2086S0102X | |||
| Plastic and Reconstructive Surgery Physician |
2086S0122X | |||
| Trauma Surgery Physician |
2086S0127X | |||
| General Practice Physician |
208D00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | 800018020 | FL | Yes |
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1324 Lakeland Hills Blvd
Finance Department
Lakeland, FL 33805
Mailing address
1324 Lakeland Hills Blvd
Finance Department
Lakeland, FL 33805
Phone (863) 687-7251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263421000 | Medicaid | FL |
Other providers in Lakeland, FL
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
- Lakeland Regional Health Systems, Inc.
All providers in Lakeland, FL · Multi-Specialty Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.