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MR. RADOUANE LAKTIB PMHNP-BC
NPI 1255196945
Nurse Practitioner - Psychiatric/Mental Health in Tampa, FL

Active since February 21, 2024PECOS Enrolled
4202 E FOWLER AVE, TAMPA, FL 33620(813) 974-2331 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Radouane Laktib Pmhnp-bc NPPES

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

MR. RADOUANE LAKTIB PMHNP-BC (NPI 1255196945) is an individual psychiatric/mental health provider in Tampa, Florida, licensed in Florida (APRN11031382) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255196945
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RADOUANE LAKTIBCredential: PMHNP-BC
Location Address4202 E FOWLER AVETampa, FL 33620-8000
Mailing Address10411 Goldenbrook WayTampa, FL 33647-3169 · (813) 857-1181
Phone(813) 974-2331
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 21, 2024
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1255196945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11031382
4202 E FOWLER AVE, Tampa, FL 33620
Open in Google Maps ↗

Other Identifiers 2

Medicaid121788700FL
OtherERQTYFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Radouane Laktib Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355789165
PECOS Enrollment IDI20250902002618
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LISA ANNE HANSEL AU.D.
Audiologist
4202 E FOWLER AVE, PCD 1017
TAMPA, FL 33620
Hillsborough County (813) 974-8804
MARKETA M WILLS MD
Psychiatry & Neurology (Psychiatry)
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-2201
AMY R. DAVIS SLP
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
KEVIN ELLIS GABALSKI
Specialist/Technologist (Athletic Trainer)
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-4607
JAIME DE JESUS VARGAS
Nurse Anesthetist, Certified Registered
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-4607
HUI WILLIAM LEE M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
4202 E FOWLER AVE, SHS100
TAMPA, FL 33620
Hillsborough County (813) 974-2331
DIANA JULBE-DELGADO M.S., CCC-SLP
Speech-Language Pathologist
4202 E FOWLER AVE, PCD1017
TAMPA, FL 33620
Hillsborough County (813) 974-9844
MARIAN ALICE LOWTHER SLP
Speech-Language Pathologist
4202 E FOWLER AVE
TAMPA, FL 33620
Hillsborough County (813) 974-2201

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 Radouane Laktib's NPI number?

The NPI number for Radouane Laktib is 1255196945. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Radouane Laktib located?

Radouane Laktib practices at 4202 E Fowler Ave, Tampa, FL 33620. The listed phone number is (813) 974-2331.

What is Radouane Laktib's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Radouane Laktib enrolled in Medicare?

Yes. Radouane Laktib is registered in the Medicare PECOS enrollment system.

What insurance does Radouane Laktib accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Radouane Laktib 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 Radouane Laktib was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.