Individual provider Active NPI

Landry Kalombo Umbu, MD

  • Surgery Physician
  • Port Arthur, TX
National Provider Identifier
1861029563
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
W4221 Issued in TX
Practice address
2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007
Phone
(409) 853-5144
Fax
(409) 853-5144
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X W4221 TX Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007

Mailing address

2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007
Phone (409) 853-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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
I20251209002708 NY Practitioner - General Surgery 6608360557 Reassigns benefits to 1 organization
I20260611004908 TX Practitioner - General Surgery 6608360557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Laparoscopic Surgery,P.L.L.CGroup PAC ID 9830523117, 6 clinicians

Practice addresses (Care Compare)

625 Belle Terre Rd
Suite 202
Port Jefferson, NY 11777-2318
Phone (631) 686-7982

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Laparoscopic Surgery,P.L.L.C. Single Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

625 Belle Terre Rd
Ste 202
Prt Jefferson, NY 11777
Phone (631) 686-7982

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1861029563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-853-5144",
            "fax_number": "409-853-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-853-5144",
            "fax_number": "409-853-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBU",
        "first_name": "LANDRY",
        "middle_name": "KALOMBO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "W4221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.