Benjamin John Landis

MD | Pediatric Cardiology | Male

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Complete Profile:

Benjamin John Landis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Benjamin John Landis
Credential :	MD
Gender :	Male

Business Address:

Benjamin John Landis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 127 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-8906
Fax Number :	317-274-4022

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699928739
NPI Entity Type :	Individual
First Enrolment Date :	03 Nov, 2008
Last Updated On :	01 Dec, 2020

Medicare Participation:

Benjamin John Landis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1153632682
Medicare Enrollment ID :	I20150624001489
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Vanderbilt University School Of Medicine
Graduation Year :	2008
Accepts Medicare?	Yes. Benjamin John Landis accepts medicare insurance.

Group Practice Association:

Benjamin John Landis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Benjamin John Landis is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin John Landis are as mentioned. Primary taxonomy code for Benjamin John Landis, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	01075395A	IN

Legacy Identifiers:

Other legacy medical identifiers of Benjamin John Landis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
201294740	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-777-6435
Fax Number :	317-777-6644

Business Location:

Patients can refer following map for directions to Benjamin John Landis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.