NPIMap

Individual provider Active NPI

Sofy Landes, MD

  • Cardiovascular Disease Physician
  • Ladson, SC
National Provider Identifier
1265790133
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
39355 Issued in SC
Practice address
3601 Ladson Rd Ste 100
Ladson, SC 29456-4304
Phone
(843) 285-2500
Fax
(843) 285-2505
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 39355 SC Primary

Addresses

Primary practice location

3601 Ladson Rd Ste 100
Ladson, SC 29456-4304

Mailing address

3601 Ladson Rd Ste 100
Ladson, SC 29456-4304
Phone (843) 285-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190606001538 SC Practitioner - Cardiovascular Disease (Cardiology) 2668774423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Primary Care Physicians LLCGroup PAC ID 4880508068, 148 clinicians

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

2550 Elms Ctr Rd
North Charleston, SC 29406-9844
Phone (843) 695-6071

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince May 26, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Cardiovascular Disease Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince May 26, 2021 Accepting new patients
Trident Cardiology Associates, PA Cardiovascular Disease CurrentSince Aug 1, 2019 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

3601 Ladson Rd
Ste 100
Ladson, SC 29456
Phone (843) 285-2500

730 Stony Landing Rd
Ste 200
Moncks Corner, SC 29461
Phone (843) 285-2500

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075

100 Guild St
Ste 101
Summerville, SC 29486

302 Medical Park Dr
Ste 212
Walterboro, SC 29488
Phone (843) 285-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13532/brand/1/csg/1/fhir/r4
  • Direct secure messaging: slandes500374@direct.musc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1265790133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 LADSON RD STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564304",
            "telephone_number": "843-285-2500",
            "fax_number": "843-285-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LADSON RD STE 100",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564304",
            "telephone_number": "843-285-2500",
            "fax_number": "843-285-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "SOFY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "39355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.