NPIMap

Individual provider Active NPI

Carrie Landess, M.D., P.A

  • Neurology Physician
  • North Miami Beach, FL
National Provider Identifier
1154396281
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME66199 Issued in FL
Practice address
16855 NE 2ND Ave
Suite 102
North Miami Beach, FL 33162-1744
Phone
(305) 655-2800
Fax
(305) 655-2801
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME66199 FL Primary

Addresses

Primary practice location

16855 NE 2ND Ave
Suite 102
North Miami Beach, FL 33162-1744

Mailing address

16855 NE 2ND Ave
Suite 102
North Miami Beach, FL 33162-1744
Phone (305) 655-2800

Other identifiers 1

IdentifierTypeStateIssuer
257784400MedicaidFL

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
I20040304001048 FL Practitioner - Neurology 5991693731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16855 NE 2ND Ave
Suite 102
North Miami Beach, FL 33162-1744
Phone (305) 655-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Landess M.D., P.a. Neurology CurrentSince Mar 26, 2013 Accepting new patients
Sunrise Medical Group Inc Neurology Past Accepting new patients
Sunrise Medical Group I, LLC Neurology PastSince Aug 23, 2020 Accepting new patients

Locations

1190 NW 95th St
Ste 204
Miami, FL 33150
Phone (305) 836-5053

100 NW 170th St
Ste 206
North Miami Beach, FL 33169
Phone (305) 652-6466

16855 NE 2nd Ave
Ste 102
North Miami Beach, FL 33162
Phone (305) 655-2800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4

Organizations & group practices 3

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1154396281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-655-2800",
            "fax_number": "305-655-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-655-2800",
            "fax_number": "305-655-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESS",
        "first_name": "CARRIE",
        "credential": "M.D., P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME66199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257784400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.