Individual provider Active NPI

Alan Landau, M.D.

  • Gastroenterology Physician
  • Colchester, VT
National Provider Identifier
1003876368
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
042.0014276 Issued in VT
Practice address
875 Roosevelt Hwy Ste 132
Colchester, VT 05446
Phone
(802) 864-7483
Fax
(802) 864-7483
NPI assigned
Mar 23, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042.0014276 VT
Gastroenterology Physician 207RG0100X 042.0014276 VT Primary

Addresses

Primary practice location

875 Roosevelt Hwy Ste 132
Colchester, VT 05446

Mailing address

875 Roosevelt Hwy Ste 132
Colchester, VT 05446-4460
Phone (802) 864-7483

Other practice location 1

888 White Plains Rd
Suite 110
Trumbull, CT 06611-4552
Phone (203) 459-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709002983 VT Practitioner - Gastroenterology 0345252953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Boston University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Gastroenterology, PLLCGroup PAC ID 9931259967, 5 clinicians

Practice addresses (Care Compare)

875 Roosevelt Hwy
Suite 132
Colchester, VT 05446-4460
Phone (802) 864-7483

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0014276VTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Gastroenterology, PLLC Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients

Locations

875 Roosevelt Hwy
Colchester, VT 05446
Phone (802) 864-7483

875 Roosevelt Hwy
Ste 132
Colchester, VT 05446
Phone (802) 864-7483

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGFAED/Endpoint/HGFAED

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1003876368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-864-7483",
            "fax_number": "802-864-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY STE 132",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-864-7483",
            "fax_number": "802-864-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 White Plains Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114552",
            "country_code": "US",
            "telephone_number": "203-459-4594",
            "fax_number": "203-459-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0014276",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VT",
            "license": "042.0014276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.