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DR. ALEXANDER P TROUM D.O.
NPI 1629425533
Internal Medicine - Gastroenterology in Sebring, FL

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
4420 SUN N LAKE BLVD, SEBRING, FL 33872(863) 385-2248(863) 382-1242 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2024, Feb 8, 2024, Oct 11, 2023 and 4 more (7 updates tracked since 2016).

About Dr. Alexander P Troum D.o. NPPES

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

DR. ALEXANDER P TROUM D.O. (NPI 1629425533) is an individual gastroenterology provider in Sebring, Florida, licensed in Florida (OS18399) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629425533
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ALEXANDER P TROUMCredential: D.O.
Location Address4420 SUN N LAKE BLVDSebring, FL 33872-2164
Mailing Address855 Central Ave Unit 512St Petersburg, FL 33701-3661 · (609) 602-6649
Phone(863) 385-2248
Fax(863) 382-1242
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateNovember 25, 20247 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1629425533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · OS18399
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
4420 SUN N LAKE BLVD, Sebring, FL 33872
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12816 Manatee Ave WBradenton, FL 34205-4237 · Phone (609) 602-6649
Location 21425 Malabar Rd NEPalm Bay, FL 32907-2506 · Phone (321) 434-8078

Other Identifiers 2

OtherT3304FL · Medicare Hf
Medicaid114360300FL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander P Troum D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012244247
PECOS Enrollment IDI20220518000647
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Alexander Troum reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System-Sunbelt Inc
9.9 mi
Rural Health
1006 W PLEASANT ST
Avon Park, FL 33825
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1396046637 (Florida)
  • 105 clinicians in this Medicare group
NPI 1881850956 (863) 453-3121
Arcadia Medical Associates PA
28 mi
Internal Medicine
425 NURSING HOME DR
Arcadia, FL 34266
  • Reassigned Medicare billing, Florida enrollment
  • 46 clinicians in this Medicare group
NPI 1891980215 (863) 993-2966
Health First Medical Group, LLC
67 mi
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055
Florida Hospital Physician Group Inc
72 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
West Central Gastroenterology LLP
79 mi
Gastroenterology
3001 EXECUTIVE DR, SUITE 130
Clearwater, FL 33762
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1144454703 (727) 347-0005

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
123 services123 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
77 services76 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services39 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Hca Florida Largo Hospital

Acute Care Hospitals · Largo, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100248
Location201 14th St SWLargo, FL 33770 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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 5

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

SAMANTHA ELIZABETH DENTON APRN
Nurse Practitioner (Family)
4420 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-2248
DR. ANTHONY J ARCIOLA MD
Urology
4420 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-2248
ARAVINDH RATHINAM MD, M CH
Urology
4420 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-2248
AMIT I SHAH M D P A
Specialist
4420 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-1244
SANDRA D FANTAUZZI PAC
Physician Assistant
4420 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-1244

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 Alexander Troum's NPI number?

The NPI number for Alexander Troum is 1629425533. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Alexander Troum located?

Alexander Troum practices at 4420 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 385-2248.

What is Alexander Troum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alexander Troum enrolled in Medicare?

Yes. Alexander Troum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexander Troum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Troum reassigns Medicare benefits to 5 organizations: Adventist Health System-Sunbelt Inc (Avon Park, FL), Arcadia Medical Associates PA (Arcadia, FL), Health First Medical Group, LLC (Melbourne, FL), Florida Hospital Physician Group Inc (Tampa, FL) and West Central Gastroenterology LLP (Clearwater, FL). Each 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 Alexander Troum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Troum 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 3 other insurers list Alexander Troum 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.

Is Alexander Troum affiliated with any hospitals?

According to CMS data, Alexander Troum is affiliated with St Anthonys Hospital, St Josephs Hospital, Hca Florida St Petersburg Hospital, Hca Florida Blake Hospital and Hca Florida Largo Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Troum was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.