Individual provider Active NPI

Evan M. Landau, MD

  • Radiation Oncology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1184824088
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME109336 Issued in FL
Practice address
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone
(954) 355-5365
Fax
(954) 468-5251
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 243554 NY
Radiation Oncology Physician 2085R0001X ME109336 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 15

IdentifierTypeStateIssuer
662325OtherFLWELLCARE
01671620OtherFLAMERIGROUP
7422OtherFLDIMENSIONS
P997247OtherFLFREEDOM HEALTH
9414789OtherFLAETNA
P00990539OtherFLRAILROAD MEDICARE
003841600MedicaidFL
14EC7OtherFLBCBS FL
349267OtherFLAVMED
2295602OtherFLGHI
F00335716002OtherFLUNITED HEALTHCARE
23340OtherFLMEDICA
2810412OtherFLCIGNA
P0003152OtherFLFLORIDA HEALTHCARE PLUS
P938024OtherFLOPTIMUN

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
I20110728000080 FL Practitioner - Radiation Oncology 6901074475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians

Practice addresses (Care Compare)

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
Phone (954) 355-5635

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 786-6838

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
81.71
Improvement activities
40
Cost
88.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109336FLMDRadiation Oncology Physician
243554NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Nov 11, 2024 Accepting new patients
Precision Healthcare Specialists, LLC Radiation Oncology CurrentSince Apr 1, 2026 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 3, 2011 Accepting new patients
Genesiscare USA of Florida LLC Radiation Oncology CurrentSince Oct 3, 2011 Accepting new patients
Healx Oncology Partners of Broward LLC Past Accepting new patients

Locations

21355 E Dixie Hwy
Ste 111
Aventura, FL 33180
Phone (305) 692-1100

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2101 Riverside Dr
#101
Coral Springs, FL 33071
Phone (954) 341-6200

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

7850 N University Dr
Tamarac, FL 33321
Phone (754) 205-0099

4832 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 277-0786

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 4

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1184824088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5365",
            "fax_number": "954-468-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "EVAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "243554",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME109336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "662325",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01671620",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSIONS",
            "identifier": "7422",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P997247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9414789",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00990539",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003841600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "14EC7",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "349267",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2295602",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "F00335716002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "23340",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2810412",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE PLUS",
            "identifier": "P0003152",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUN",
            "identifier": "P938024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.