Individual provider Active NPI

Jacob S Landes, D.O.

  • Orthopaedic Hand Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1124394341
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
OS 14144 Issued in FL
Practice address
9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237
Phone
(561) 488-2200
Fax
(561) 488-1064
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS 14144 FL
Orthopaedic Hand Surgery Physician 207XS0106X OS14144 FL
Orthopaedic Hand Surgery Physician 207XS0106X OS 14144 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237

Mailing address

9970 Central Park Blvd N Ste 300
Boca Raton, FL 33428-2237
Phone (561) 488-2200

Other practice location 1

13590 S Jog Rd Ste 7
Delray Beach, FL 33446-3807
Phone (561) 637-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161026000839 FL Practitioner - Hand Surgery 8921314931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Orthopedics LLCGroup PAC ID 8224534938, 5 clinicians

Practice addresses (Care Compare)

800 E Cypress Creek Rd
Suite 304
Ft Lauderdale, FL 33334-3522
Phone (954) 289-8155

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 14144FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arturo Corces MD PA CurrentSince Oct 1, 2023 Accepting new patients
Broward Orthopedics LLC Orthopaedic Surgery CurrentSince Sep 18, 2025 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 404
Doral, FL 33166
Phone (305) 595-1317

800 NE 62nd St
Ste 304
Ft Lauderdale, FL 33334
Phone (954) 289-8155

Interoperability endpoints

  • Direct secure messaging: jacob.landes.1@1864.direct.athenahealth.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 and National Provider Directory roles.

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1124394341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-488-2200",
            "fax_number": "561-488-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282237",
            "telephone_number": "561-488-2200",
            "fax_number": "561-488-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13590 S Jog Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334463807",
            "country_code": "US",
            "telephone_number": "561-637-4200",
            "fax_number": "561-637-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDES",
        "first_name": "JACOB",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS 14144",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "OS14144",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "OS 14144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.