NPIMap

Individual provider Active NPI

Lincoln Roland, M.D.

  • Vascular Surgery Physician
  • Pensacola, FL
National Provider Identifier
1235365032
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME124268 Issued in FL
Practice address
1502 Creighton Rd Ste a
Pensacola, FL 32504-7143
Phone
(850) 437-3777
Fax
(850) 373-3184
NPI assigned
Jun 8, 2009
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 240832 MA
Vascular Surgery Physician 2086S0129X ME124268 FL Primary

Addresses

Primary practice location

1502 Creighton Rd Ste a
Pensacola, FL 32504-7143

Mailing address

1502 Creighton Rd Ste a
Pensacola, FL 32504-7143
Phone (850) 437-3777

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
I20151030000467 FL Practitioner - Vascular Surgery 7214113315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1502 Creighton Rd
Suite a
Pensacola, FL 32504-7143
Phone (850) 437-3777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal224
Leg revascularization (restoring blood flow)127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240832MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Nov 16, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc Vascular Surgery CurrentSince Nov 16, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
BMR Anesthesia PLLC CurrentSince Feb 23, 2021 Accepting new patients
Panhandle Vascular Surgical Specialists Vascular Surgery CurrentSince Dec 1, 2018 Accepting new patients
Panhandle Outpatient Surgery Center Past Accepting new patients

Locations

1502 Creighton Rd
Pensacola, FL 32504

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-5183

1505 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-4325

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

Organizations & group practices 6

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 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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1235365032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047143",
            "telephone_number": "850-437-3777",
            "fax_number": "850-437-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CREIGHTON RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047143",
            "telephone_number": "850-437-3777",
            "fax_number": "850-373-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "LINCOLN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "240832",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME124268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.