Active NPI
Martin J Landa, M.D.
- Emergency Medicine Physician
- Miramar Beach, FL
National Provider Identifier
1619901154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME107700
- Practice address
- 7800 US Highway 98 W
ER
Miramar Beach, FL 32550-7228 - Phone
- (850) 278-3000
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 41056-020 | WI | |
| Emergency Medicine Physician | 207P00000X | ME107700 | FL | Primary |
Addresses
Primary practice location
7800 US Highway 98 W
ER
Miramar Beach, FL 32550-7228
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 278-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930076656 | Other | WI | MEDICARE RAILROAD |
| 002445100 | Medicaid | FL | |
| 930107049 | Other | WI | MEDICARE RAILROAD |
| 32571000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41056-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medig Imaging LLC | Past | Accepting new patients | |
| Ihc Beaver Dam Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Adrian Lewis, M.D.,P.a. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rehabilitation Practitioner
- Gainesville, FL
- NPI 1407988249
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Gainesville, FL
- NPI 1730461021
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1619901154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-278-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 US HIGHWAY 98 W",
"address_2": "ER",
"city": "MIRAMAR BEACH",
"state": "FL",
"postal_code": "325507228",
"telephone_number": "850-278-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDA",
"first_name": "MARTIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "41056-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME107700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930076656",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002445100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930107049",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32571000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.