SAMIR LADANI MD
NPI 1013371574
Internal Medicine in Pittsburgh, PA

Q: What is Samir Ladani's NPI number?

The NPI number for Samir Ladani is 1013371574. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Samir Ladani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Samir Ladani was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

1000 BOWER HILL RD, PITTSBURGH, PA 15243(412) 942-4000 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Jun 15, 2021, May 26, 2021 and 1 more (4 updates tracked since 2019).

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About Samir Ladani Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIR LADANI MD (NPI 1013371574) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD472238) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013371574

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSAMIR LADANICredential: MD

Location Address1000 BOWER HILL RDPittsburgh, PA 15243-1873

Mailing Address1000 Bower Hill RdPittsburgh, PA 15243-1873 · (412) 942-4000

Phone(412) 942-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 11, 2016

Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1013371574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD472238

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 BOWER HILL RD, Pittsburgh, PA 15243

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samir Ladani Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537453543

PECOS Enrollment IDI20210224000949

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

187 services105 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

62 services61 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

61 services57 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

54 services32 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

39 services39 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

25 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390036

Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County

Emergency services

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390037

Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County

Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390228

Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$23.29 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$119.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW JEROME COYLE M.D.

Emergency Medicine (Emergency Medical Services)