Individual provider Active NPI

Michael J Landolf, M.D.

  • Occupational Medicine Physician
  • Elmira, NY
National Provider Identifier
1578538005
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
178052 Issued in NY
Practice address
600 Ivy St
Suite 106
Elmira, NY 14905-1627
Phone
(607) 737-4539
Fax
(607) 737-7783
NPI assigned
Feb 20, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 178052 NY
Occupational Medicine Physician 2083X0100X 178052 NY Primary

Addresses

Primary practice location

600 Ivy St
Suite 106
Elmira, NY 14905-1627

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other identifiers 1

IdentifierTypeStateIssuer
01478344MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110120000072 NY Practitioner - Internal Medicine 4385783471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Medical Services PLLC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

600 Ivy St
Ste 106
Elmira, NY 14905
Phone (607) 737-4539

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

Interoperability endpoints

  • Direct secure messaging: michael.landolf@arn.eclinicaldirectplus.com

Organizations & group practices 2

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1578538005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 IVY ST",
            "address_2": "SUITE 106",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051627",
            "telephone_number": "607-737-4539",
            "fax_number": "607-737-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOLF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178052",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "178052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01478344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.