Individual provider Active NPI

David Landau, M.D.

  • Forensic Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1346419884
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
85-60 Issued in NM
Practice address
119 Quincy St NE
Suite W
Albuquerque, NM 87108-1256
Phone
(505) 255-7415
Fax
(505) 256-3934
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 85-60 NM Primary

Addresses

Primary practice location

119 Quincy St NE
Suite W
Albuquerque, NM 87108-1256

Mailing address

119 Quincy St NE
Suite W
Albuquerque, NM 87108-1256
Phone (505) 255-7415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181205002789 MO Practitioner - Psychiatry 3870837693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New Mexico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community and Long-Term Care Psychiatry LLCGroup PAC ID 4486949773, 14 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 362B
Saint Louis, MO 63128-2178
Phone (314) 525-5050

Merit-based Incentive Payment System (MIPS)

Final score
95.86 of 100Reported as group
Quality
70.88
Promoting interoperability
100
Improvement activities
40
Cost
82.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85-60NMMDForensic Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: david.landau.1@20454.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1346419884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 QUINCY ST NE",
            "address_2": "SUITE W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081256",
            "telephone_number": "505-255-7415",
            "fax_number": "505-256-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 QUINCY ST NE",
            "address_2": "SUITE W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081256",
            "telephone_number": "505-255-7415",
            "fax_number": "505-256-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NM",
            "license": "85-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.