Active NPI
James Landero, D.O.
- Dermatology Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- N8206
- Practice address
- 1525 Hickory St
Abilene, TX 79601-2906 - Phone
- (325) 677-7546
- Fax
- (325) 676-7546
- NPI assigned
- Jul 19, 2009
- Last updated
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | N8206 | TX | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | N8206 | TX | |
| Internal Medicine Physician | 207R00000X | OS10591 | FL | |
| Internal Medicine Physician | 207R00000X | N8206 | TX |
Addresses
Primary practice location
1525 Hickory St
Abilene, TX 79601-2906
Mailing address
1525 Hickory St
Abilene, TX 79601-2906
Phone (325) 677-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1525 Hickory St
Abilene, TX 79601-2906
Phone (325) 677-7546
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 55 |
| Removal of skin lesions | 623 |
| Removal of skin cancer | 49 |
| Skin biopsy | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8206 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Premier Dermatology, PLLC | Dermatology | Current | Accepting new patients |
Locations
1525 Hickory St
Abilene, TX 79601
Phone (325) 677-7546
5625 Eiger Rd
Ste 105
Austin, TX 78735
Phone (512) 763-3760
7801 N Lamar Blvd
Ste D81
Austin, TX 78752
Phone (512) 868-3376
4513 Williams Dr
Georgetown, TX 78633
1320 Wonder World Dr
Ste 108
San Marcos, TX 78666
Phone (512) 392-1411
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Abilene, TX
- NPI 1851720056
-
dba Vitalogy Skincare
- Dermatology Physician
- Georgetown, TX
- NPI 1366018848
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1396975850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 HICKORY ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012906",
"telephone_number": "325-677-7546",
"fax_number": "325-676-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 HICKORY ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012906",
"telephone_number": "325-677-7546",
"fax_number": "325-676-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERO",
"first_name": "JAMES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-19",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "N8206",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "N8206",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS10591",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N8206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.