Individual provider Active NPI

Alexander Llanos, MD

  • Interventional Cardiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1972781904
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME111683 Issued in FL
Practice address
4725 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308-4603
Phone
(954) 772-2136
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME111683 FL Primary

Addresses

Primary practice location

4725 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308-4603

Mailing address

4725 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120411000058 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375700149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Georgia Regents University College of Dental Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Cardiovascular Disease CurrentSince Feb 27, 2017 Accepting new patients
Electrocardiogram Associates PA Cardiovascular Disease CurrentSince Mar 20, 2018 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Feb 27, 2017 Accepting new patients

Locations

4725 N Federal Hwy
#401
Ft Lauderdale, FL 33308
Phone (954) 772-2136

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Interoperability endpoints

  • Direct secure messaging: allanos2023527@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1972781904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "STE 401",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-772-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "address_2": "STE 401",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603",
            "telephone_number": "954-772-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANOS",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME111683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.