Individual provider Active NPI

Fred Landes, M.D.

  • Emergency Medicine Physician
  • North Adams, MA
National Provider Identifier
1306898176
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
74376 Issued in MA
Practice address
71 Hospital Ave
North Adams, MA 01247-2504
Phone
(413) 664-5256
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 74376 MA Primary
Emergency Medicine Physician 207P00000X 53012 CT

Addresses

Primary practice location

71 Hospital Ave
North Adams, MA 01247-2504

Mailing address

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5256

Other identifiers 1

IdentifierTypeStateIssuer
J11740OtherBXBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050503000629 MA Practitioner - Emergency MedicinePractitioner - Internal Medicine 7315986999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Massachusetts PLLCGroup PAC ID 8628386448, 10 clinicians

Practice addresses (Care Compare)

48 Sanderson St
Greenfield, MA 01301-2778
Phone (413) 773-2441

Hospital & facility affiliations

  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue269
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greylock Pathology Partners, LLP Current Accepting new patients
Healogics Specialty Physicians of Massachusetts, PLLC CurrentSince Jul 29, 2016 Accepting new patients
North Adams Regional Hospital Current Accepting new patients

Locations

48 Sanderson St
Greenfield, MA 01301
Phone (413) 773-2022

48 Sanderson St
Ste 100
Greenfield, MA 01301

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

184 Lincoln St
North Easton, MA 02356
Phone (508) 238-7053

40 Wright St
Palmer, MA 01069
Phone (413) 284-5210

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1306898176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL AVE",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472504",
            "telephone_number": "413-664-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HOSPITAL AVE",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472504",
            "telephone_number": "413-664-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "74376",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "53012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "J11740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.