NPIMap

Individual provider Active NPI

Andrew David Ladner, MD

  • Internal Medicine Physician
  • Village of Golf, FL
National Provider Identifier
1033111497
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0048554 Issued in FL
Practice address
1 Country Rd E
Village of Golf, FL 33436-5611
Phone
(561) 736-1805
Fax
(561) 736-1806
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0048554 FL Primary

Addresses

Primary practice location

1 Country Rd E
Village of Golf, FL 33436-5611

Mailing address

1 Country Rd E
Village of Golf, FL 33436-5611
Phone (561) 736-1805

Other identifiers 1

IdentifierTypeStateIssuer
252510100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110322000357 FL Practitioner - Internal Medicine 6608843065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Group practices
On-Site Wound Consultants PAGroup PAC ID 0042535494, 2 clinicians

Practice addresses (Care Compare)

1 Country Rd E
Village of Golf, FL 33436-5611
Phone (561) 736-1805

Hospital & facility affiliations

  • Amicable Home Health Care Inc Home health agency, West Palm Beach, FL, CCN 103140
  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • The Roads Home Health Broward Home health agency, Hallandale, FL, CCN 103178
  • Health at Home Home health agency, Boynton Beach, FL, CCN 109058
  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions1-10
Skin biopsy104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048554FLMDInternal Medicine Physician

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1033111497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COUNTRY RD E",
            "city": "VILLAGE OF GOLF",
            "state": "FL",
            "postal_code": "334365611",
            "telephone_number": "561-736-1805",
            "fax_number": "561-736-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY RD E",
            "city": "VILLAGE OF GOLF",
            "state": "FL",
            "postal_code": "334365611",
            "telephone_number": "561-736-1805",
            "fax_number": "561-736-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADNER",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252510100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Golf, FL

Sources for this page

Verify at the official NPI Registry.