Dyllan Landry, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-50964 Issued in KS

Practice address

1301 W 12TH Ave Ste 301
Emporia, KS 66801-2590

Phone

(620) 343-2376

Fax

(620) 343-5987

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, KS2 enrollments

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 2

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

Coffey County Medical CenterGroup PAC ID 4880588391, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newman Regional Health Hospital, Emporia, KS, CCN 171384
• Coffey County Hospital Hospital, Burlington, KS, CCN 171385

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dlandry1302919@directc.mercy.net
• Direct secure messaging: dyllan.landry@newmanrhdirect.org

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.

• Coffey County Medical Center

  • Family Medicine Physician
  • Burlington, KS
  • NPI 1760486690

  Surgery

  Medicare reassignment Care Compare group NPD
• Coffey County Hospital

  • Critical Access Hospital
  • Burlington, KS
  • NPI 1376548370
  Medicare reassignment NPD
• Coffey County Hospital

  • Family Medicine Physician
  • Burlington, KS
  • NPI 1508941865
  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594

  Surgery

  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment NPD
• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  Medicare reassignment NPD
• Mercy Health Northwest Arkansas Communities

  • Surgery Physician
  • Rogers, AR
  • NPI 1538460662
  Medicare reassignment NPD
• Coffey County Hospital

  • Land Ambulance
  • Burlington, KS
  • NPI 1598855835
  NPD
• Newman Memorial County Hospital

  • Family Medicine Physician
  • Emporia, KS
  • NPI 1659810133

  Surgery

  NPD
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729
  NPD
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffey County Hospital

  • Critical Access Hospital
  • Burlington, KS
  • NPI 1376548370
  Care Compare affiliation
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Care Compare affiliation
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1477073575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 301",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012590",
            "telephone_number": "620-343-2376",
            "fax_number": "620-343-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-293-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012504",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S Horsebarn Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588184",
            "country_code": "US",
            "telephone_number": "479-273-7700",
            "fax_number": "479-464-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "DYLLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-15410",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-50964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brock Kretsinger, DO
• Thomas A Kriss, DDS
• Kathryn Kuhlmann, PHARMD
• Jennie Leann Kutschka, O.D.
• Kelley J. Lackey II, MS-LPC
• Katherine Jo Landwehr, LMFT-T
• Alexandria Lara
• Larry W Finley Crna LLC
• Alexis Lasley
• Anna Lasota, DO

• Surgery Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.

Verify at the official NPI Registry.