Active NPI
Humam Samir Alabsi, M.D.
- Pediatrics Physician
- Plant City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME152590
- Practice address
- 511 W Alexander St
Plant City, FL 33563-7116 - Phone
- (863) 284-5000
- Fax
- (863) 284-1916
- NPI assigned
- May 10, 2011
- Last updated
- Feb 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-8868 | IA | |
| Pediatrics Physician | 208000000X | MD-41511 | IA | |
| Pediatrics Physician | 208000000X | ME152590 | FL | Primary |
Addresses
Primary practice location
511 W Alexander St
Plant City, FL 33563-7116
Mailing address
905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000
Other practice location 1
905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000
Other practice location 2
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 687-1100
Other practice location 3
430 E Central Ave
Winter Haven, FL 33880-3050
Phone (863) 687-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076372 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | halabsi28518@LRHS.direct-ci.com | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-8868 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
511 W Alexander St
Plant City, FL 33563
Phone (813) 719-7246
511 W Alexander St
Ste 2
Plant City, FL 33563
Phone (813) 659-8960
430 E Central Ave
Winter Haven, FL 33880
Phone (863) 284-5061
Interoperability endpoints
- halabsi28518@lrhs.direct-ci.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1922390988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 FRANKLIN ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034407",
"telephone_number": "319-874-3000",
"fax_number": "319-874-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637116",
"telephone_number": "863-284-5000",
"fax_number": "863-284-1916"
}
],
"practiceLocations": [
{
"address_1": "905 Franklin St",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507034407",
"country_code": "US",
"telephone_number": "319-874-3000",
"fax_number": "319-874-3411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338037952",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 E Central Ave",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338803050",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALABSI",
"first_name": "HUMAM",
"middle_name": "SAMIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-10",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R-8868",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "MD-41511",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME152590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076372",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "halabsi28518@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "511 W Alexander St",
"city": "Plant City",
"state": "FL",
"country_code": "US",
"postal_code": "335637116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.