NPIMap

Individual provider Active NPI

Michael Joseph Landman, M.D.

  • Nephrology Physician
  • Lawrence, MA
National Provider Identifier
1013039601
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
159775 Issued in MA
Practice address
25 Marston St
Lawrence, MA 01841-2310
Phone
(978) 686-2400
Fax
(978) 685-4151
NPI assigned
Apr 4, 2007
Last updated
Mar 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 159775 MA Primary

Addresses

Primary practice location

25 Marston St
Lawrence, MA 01841-2310

Mailing address

25 Marston St
Lawrence, MA 01841-2310
Phone (978) 686-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000903 MA Practitioner - NeurologyPractitioner - Internal MedicinePractitioner - Nephrology 8325086192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
University of Massachusetts Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 Marston St
Suite 403
Lawrence, MA 01841-2359
Phone (978) 686-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159775MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Landman MD PC Nephrology CurrentSince Jan 13, 2005 Accepting new patients

Locations

138 Haverhill St
Ste 104
Andover, MA 01810
Phone (508) 475-0705

25 Marston St
Lawrence, MA 01841
Phone (978) 273-0829

25 Marston St
Ste 403
Lawrence, MA 01841
Phone (978) 247-8905

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECDFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECDFBA/Endpoint/ECDFBA
  • Direct secure messaging: michael.landman@m.eclinicaldirectplus.com

Organizations & group practices 2

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 10

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1013039601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-686-2400",
            "fax_number": "978-685-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-686-2400",
            "fax_number": "978-685-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "159775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.