Individual provider Active NPI

Raymond V Landes, MD

  • Colon & Rectal Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1851367593
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
4301055815 Issued in MI
Practice address
595 Barclay Cir
Ste a
Rochester Hills, MI 48307-5802
Phone
(248) 852-8020
Fax
(248) 852-8081
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 4301055815 MI Primary

Addresses

Primary practice location

595 Barclay Cir
Ste a
Rochester Hills, MI 48307-5802

Mailing address

595 Barclay Cir
Ste a
Rochester Hills, MI 48307
Phone (248) 852-8020

Other identifiers 1

IdentifierTypeStateIssuer
2804620MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100825000710 MI Practitioner - Colorectal Surgery (Proctology) 8022906973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

595 Barclay Cir
Rochester Hills, MI 48307-5802
Phone (248) 852-8020

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Apr 9, 2024 Accepting new patients
Rochester Colon & Rectal, P.C. Colon & Rectal Surgery CurrentSince Jan 24, 1994 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 9, 2024 Accepting new patients
S L Husain Hamzavi MD PC Past Accepting new patients

Locations

31500 Telegraph Rd
Ste 130
Bingham Farms, MI 48025
Phone (248) 433-3803

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1455 S Lapeer Rd
Ste 222
Lake Orion, MI 48360
Phone (248) 693-2211

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

595 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 852-8020

595 Barclay Cir
Ste A
Rochester Hills, MI 48307
Phone (248) 852-8020

4967 Crooks Rd
Ste 230
Troy, MI 48098
Phone (248) 385-0880

11051 Hall Rd
Ste 210
Utica, MI 48317
Phone (586) 739-5220

Interoperability endpoints

  • Direct secure messaging: rlandes@crs.gwaydirect.com
  • Direct secure messaging: rlandes63302@direct.hfhs.org

Organizations & group practices 4

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.

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1851367593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-852-8020",
            "fax_number": "248-852-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "STE A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-8020",
            "fax_number": "248-852-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDES",
        "first_name": "RAYMOND",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301055815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.