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ST LUKES REGIONAL HEALTH CARE PLC
NPI 1184755183
Family Medicine in Lakeland, FL

Active since March 08, 2007
6030 S FLORIDA AV, STE 110, ST LUKES REGIONAL HEALTH CARE PLC, LAKELAND, FL 33813(863) 644-9800(863) 644-9822 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2019, May 1, 2018 (2 updates tracked since 2018).

About St Lukes Regional Health Care Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST LUKES REGIONAL HEALTH CARE PLC (NPI 1184755183) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since March 2007. The organization lists Traci H Martin, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1184755183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST LUKES REGIONAL HEALTH CARE PLC
Location Address6030 S FLORIDA AV, STE 110, ST LUKES REGIONAL HEALTH CARE PLCLakeland, FL 33813
Mailing AddressPo Box 7396, St Lukes Regional Health Care PlcLakeland, FL 33807-7396 · (863) 644-9800 · Fax (863) 644-9822
Phone(863) 644-9800
Fax(863) 644-9822
Organization SubpartNo
Authorized OfficialTraci H MartinOperations Manager · (863) 644-9800
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 19, 20192 updates tracked since enumeration
✔ NPI 1184755183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME82770
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6030 S FLORIDA AV, STE 110, Lakeland, FL 33813
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Lukes Regional Health Care Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to St Lukes Regional Health Care Plc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Youssef Ghaly, M.D.
Family Practice
NPI 1770580334
6030 S FLORIDA AVE STE 110
Lakeland, FL 33813
(863) 644-9800
✔ PECOS✔ Accepts MedicareSame address
Lori Smith, ARNP
Nurse Practitioner
NPI 1558731158
507 W ALEXANDER ST
Plant City, FL 33563
(813) 754-3504
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Lukes Regional Health Care Plc's NPI number?

The NPI number for St Lukes Regional Health Care Plc is 1184755183. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is St Lukes Regional Health Care Plc located?

St Lukes Regional Health Care Plc is located at 6030 S Florida Av, Ste 110 St Lukes Regional Health Care Plc, Lakeland, FL 33813. The listed phone number is (863) 644-9800.

What is St Lukes Regional Health Care Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is St Lukes Regional Health Care Plc enrolled in Medicare?

Yes. St Lukes Regional Health Care Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Lukes Regional Health Care Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to St Lukes Regional Health Care Plc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Lukes Regional Health Care Plc accept?

Health plans from Moda Health Plan, Inc. list St Lukes Regional Health Care Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Lukes Regional Health Care Plc was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.