Individual provider Active NPI

Jeffrey Todd Landis, M.D.

  • Rheumatology Physician
  • Catonsville, MD
National Provider Identifier
1528155439
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0070317 Issued in MD
Practice address
700 Geipe Rd
Suite 200
Catonsville, MD 21228-4147
Phone
(410) 744-0661
Fax
(410) 744-8036
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X D0070317 MD Primary

Addresses

Primary practice location

700 Geipe Rd
Suite 200
Catonsville, MD 21228-4147

Mailing address

700 Geipe Rd
Catonsville, MD 21228-4147
Phone (410) 744-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101014001098 MD Practitioner - Rheumatology 5395938989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

700 Geipe Rd
Suite 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

Merit-based Incentive Payment System (MIPS)

Final score
75.73 of 100Reported as individual
Quality
84.6
Promoting interoperability
95
Improvement activities
40
Cost
31.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070317MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Jul 1, 2010 Accepting new patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC Rheumatology CurrentSince Jul 1, 2010 Accepting new patients
Nasseri Clinic of Arthritic and Rheumatic Diseases LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3333 N Calvert St
Ste 570
Baltimore, MD 21218
Phone (410) 235-6565

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

700 Geipe Rd
Ste 266
Catonsville, MD 21228
Phone (410) 971-0642

700 Geipe Rd
Catonsville, MD 21228
Phone (410) 368-8750

724 Maiden Choice Ln
Ste 204
Catonsville, MD 21228
Phone (410) 744-6544

9114 Philadelphia Rd
Ste 208
Rosedale, MD 21237
Phone (410) 687-5300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJGAA

Organizations & group practices 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1528155439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0070317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.