Individual provider Active NPI

David Jon Landy, MD

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1003861816
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
23233 Issued in AL
Practice address
1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone
(205) 271-8000
Fax
(205) 879-0548
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00023233 AL
Gastroenterology Physician 207RG0100X 23233 AL Primary

Addresses

Primary practice location

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643

Mailing address

1 Independence Plaza
Suite 900
Birmingham, AL 35209-2643
Phone (205) 271-8000

Other identifiers 6

IdentifierTypeStateIssuer
51093462OtherALBLUE CROSS PROVIDER NUMBE
538800240MedicaidAL
000093462MedicaidAL
2911000OtherALUNITED HEALTHCARE PROVIDE
23233OtherMEDICAL STATE LICENSE
G01858OtherALHEALTHSPRINGS PROVIDER NU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090813000600 AL Practitioner - Gastroenterology 5890868095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00023233ALMDGastroenterology Physician
23233ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Gastroenterology Associates PC CurrentSince Sep 1, 2009 Accepting new patients
Birmingham Gastroenterology Associates PC Gastroenterology Current Accepting new patients
Gi Associates, Inc Past Accepting new patients
Alabama Gastroenterology Associates PC Gastroenterology Past Accepting new patients

Locations

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1003861816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "205-879-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "SUITE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "205-879-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDY",
        "first_name": "DAVID",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00023233",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "23233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51093462",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538800240",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093462",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "2911000",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "23233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS PROVIDER NU",
            "identifier": "G01858",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.