Active NPI
Carl Landgren, MD
- Hematology & Oncology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME147425
- Practice address
- 1475 NW 12TH Ave FL 2
Miami, FL 33136-1002 - Phone
- (305) 243-5302
- Fax
- (305) 243-9161
- NPI assigned
- Jan 28, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 280052 | NY | |
| Hematology & Oncology Physician | 207RH0003X | D0048409 | MD | |
| Hematology & Oncology Physician | 207RH0003X | ME147425 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave FL 2
Miami, FL 33136-1002
Mailing address
1475 NW 12TH Ave FL 2
Miami, FL 33136-1002
Phone (305) 243-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 NW 14TH St
University of Miami Hospital
Miami, FL 33136-1534
Phone (305) 585-6000
Hospital & facility affiliations
- Univ of Miami Hospital and Clinics-Sylvester Compr
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048409 | MD | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Memorial Hematology Lymphoma Group | Hematology & Oncology | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients |
Locations
5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1475 NW 12th Ave
Fl 2
Miami, FL 33136
Phone (305) 243-4902
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- clandgren80422@direct.med.miami.edu
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 and National Provider Directory roles.
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Hematology (Internal Medicine) Physician
- Miami, FL
- NPI 1194776062
-
- Medical Oncology Physician
- New York, NY
- NPI 1245945021
-
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1972926871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE FL 2",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5302",
"fax_number": "305-243-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE FL 2",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5302",
"fax_number": "305-243-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDGREN",
"first_name": "CARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "280052",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D0048409",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME147425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.