Active NPI
Ivan Landa, DO
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1851032254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 010759
- Practice address
- 350 W Thomas Rd
Phoenix, AZ 85013-4409 - Phone
- (602) 406-3000
- NPI assigned
- Apr 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 010759 | AZ | Primary |
Addresses
Primary practice location
350 W Thomas Rd
Phoenix, AZ 85013-4409
Mailing address
4001 N 3Rd St Ste 290
Phoenix, AZ 85012-2071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010759 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Health Care | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Zion Medical Group PLLC | Internal Medicine | Current | Accepting new patients |
| Gila River Health Care Corporation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1770109704
-
- Community/Behavioral Health Agency
- Sacaton, AZ
- NPI 1417237074
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- Critical Access Hospital
- Sacaton, AZ
- NPI 1225023179
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laveen, AZ
- NPI 1154748416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1851032254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 N 3RD ST STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134409",
"telephone_number": "602-406-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDA",
"first_name": "IVAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-07",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "010759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.