Individual provider Active NPI

Marian Gail Landau, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1518962158
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1234-03 Issued in NM
Practice address
127 Anderson St
Pittsburgh, PA 15212-5803
Phone
(412) 322-4151
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-1234-03 NM Primary

Addresses

Primary practice location

127 Anderson St
Pittsburgh, PA 15212-5803

Mailing address

4516 Browns Hill Road
Pittsburgh, PA 15217
Phone (412) 422-7442

Other identifiers 4

IdentifierTypeStateIssuer
0000298MedicaidOH
1036750560003MedicaidPA
454591MedicaidNM
341402407OtherNMMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20040124000411 NM Practitioner - Family Practice 4981506326 Reassigns benefits to 1 organization
I20200818004116 PA Practitioner - Family Practice 4981506326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Outreach Wellness CenterGroup PAC ID 6507186772, 43 clinicians

Practice addresses (Care Compare)

127 Anderson St
Suite 101
Pittsburgh, PA 15212-5803
Phone (412) 322-4151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Sep 9, 2003 Accepting new patients
Squirrel Hill Health Center CurrentSince May 15, 2020 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Sep 9, 2003 Accepting new patients
Squirrel Hill Health Center CurrentSince May 15, 2020 Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-3607

118 S Main St
Las Cruces, NM 88001
Phone (575) 527-7975

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

8600 Bataan Memorial E
Las Cruces, NM 88011
Phone (575) 373-9202

103 Towne Square Way
Pittsburgh, PA 15227
Phone (412) 422-7442

4516 Browns Hill Rd
Pittsburgh, PA 15217
Phone (412) 422-7442

Interoperability endpoints

  • Direct secure messaging: mlandau656449@direct.ochin.org

Organizations & group practices 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1518962158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15217",
            "telephone_number": "412-422-7442",
            "fax_number": "412-904-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ANDERSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125803",
            "telephone_number": "412-322-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "MARIAN",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1234-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000298",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036750560003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454591",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "341402407",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.