NPIMap

Individual provider Active NPI

Mark Douglas Landers, MD

  • Clinical Cardiac Electrophysiology Physician
  • Pinehurst, NC
National Provider Identifier
1952348682
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
200300170 Issued in NC
Practice address
7 Regional Cir
Pinehurst, NC 28374-9796
Phone
(910) 715-8600
Fax
(910) 715-8613
NPI assigned
Jun 1, 2006
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 200300170 NC Primary

Addresses

Primary practice location

7 Regional Cir
Pinehurst, NC 28374-9796

Mailing address

7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600

Other identifiers 7

IdentifierTypeStateIssuer
133N5OtherNCBLUE CROSS/BLUE SHIELD
P00039438OtherNCRAILROAD
9878835OtherNCCIGNA
A009OtherNCHEALTHNET
FH2001400OtherNCFIRST CAROLINA CARE
N00176OtherSCSC MEDICAID
89133N5MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000785 NC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5395646145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-5 LLCGroup PAC ID 4284881012, 31 clinicians

Practice addresses (Care Compare)

108 Endo LN
Suite 1
Hamlet, NC 28345-4567
Phone (910) 417-4105

135 Page Rd N
Pinehurst, NC 28374-4607
Phone (910) 715-8600

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-7650

401 Capital Dr
Unit a
Carthage, NC 28327-6261
Phone (910) 715-8600

6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone (910) 878-5100

7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600

705 B Lauchwood Dr
Laurinburg, NC 28352-5544
Phone (910) 610-4278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
65.05
Promoting interoperability
78
Improvement activities
40
Cost
87.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200300170NCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
St Joseph Ekg Reader Panel Cardiovascular Disease Past Accepting new patients
Pinehurst Cardiology Consultants PLLC Cardiovascular Disease Past Accepting new patients
Presbyterian Denver Ekg Cardiovascular Disease Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

7 Regional Cir
Pinehurst, NC 28374
Phone (910) 715-8600

Interoperability endpoints

  • Direct secure messaging: mlanders8762@firsthealth.direct-ci.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1952348682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-715-8600",
            "fax_number": "910-715-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-715-8600",
            "fax_number": "910-715-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NC",
            "license": "200300170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "133N5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00039438",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9878835",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "A009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH2001400",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N00176",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133N5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.