Individual provider Active NPI

Lloyd B Landis, DPM

  • Podiatrist
  • Ardmore, OK
National Provider Identifier
1174611875
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
217 Issued in OK
Practice address
2002 12TH Avenue NW
Suite F
Ardmore, OK 73401
Phone
(580) 223-0718
Fax
(580) 223-0719
NPI assigned
Oct 10, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 217 OK Primary

Addresses

Primary practice location

2002 12TH Avenue NW
Suite F
Ardmore, OK 73401

Mailing address

2002 12TH Avenue NW
Suite F
Ardmore, OK 73401
Phone (580) 223-0718

Other identifiers 1

IdentifierTypeStateIssuer
P00093162OtherRAILROAD MC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070504000186 OK Practitioner - Podiatry 0345346532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oklahoma Podiatry Services PLLCGroup PAC ID 2567568751, 2 clinicians

Practice addresses (Care Compare)

2002 12TH Ave NW
Suite F
Ardmore, OK 73401-1206
Phone (580) 223-0718

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue279
Removal of skin lesions29
Removal of nail tissue53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217OKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oklahoma Podiatry Services PLLC Podiatrist CurrentSince May 1, 2007 Accepting new patients
James Q. McClelland, DPM, PPC Podiatrist PastSince May 1, 2007 Accepting new patients

Locations

2002 12th Ave NW
Ste F
Ardmore, OK 73401
Phone (580) 223-0718

Interoperability endpoints

  • Direct secure messaging: llandis@afaac-ok.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1174611875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 12TH AVENUE NW",
            "address_2": "SUITE F",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-0718",
            "fax_number": "580-223-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH AVENUE NW",
            "address_2": "SUITE F",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-223-0718",
            "fax_number": "580-223-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "LLOYD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "P00093162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.