Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohammad Elballat, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700129780

Mohammad Elballat, MD is a Pulmonary Disease in Lakeland, Florida. Qualified in 2006, 20 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone: (863) 687-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 956 Court Ave Suite H314a, Memphis, TN 38163 — (901) 448-5735

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME135268 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700129780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address956 Court Ave Ste H314a, Memphis, TN 38103-2822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeland