Active NPI
Jeffrey H Landau, M.D.
- Urology Physician
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- K4934
- Practice address
- 1105 Central Expy N
Suite 350
Allen, TX 75013-6103 - Phone
- (972) 747-4200
- NPI assigned
- Aug 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 77084 | MN | |
| Urology Physician | 208800000X | G50587 | CA | |
| Urology Physician | 208800000X | K4934 | TX | Primary |
Addresses
Primary practice location
1105 Central Expy N
Suite 350
Allen, TX 75013-6103
Mailing address
5100 W Eldorado Pkwy
Suite 102 PMB 901
McKinney, TX 75070-6309
Phone (972) 747-4200
Other practice location 1
1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029520602 | Medicaid | TX | |
| 8AJ901 | Other | TX | BLUECROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50587 | CA | MD | Urology Physician |
| 77084 | MN | MD | Urology Physician |
| K4934 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Physicians Surgery Center LLC | Past | Accepting new patients |
Locations
1860 Pennsylvania Ave
Ste 200
Fairfield, CA 94533
Phone (707) 427-5211
4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1891788022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W ELDORADO PKWY",
"address_2": "SUITE 102 PMB 901",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706309",
"telephone_number": "972-747-4200",
"fax_number": "972-747-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CENTRAL EXPY N",
"address_2": "SUITE 350",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136103",
"telephone_number": "972-747-4200"
}
],
"practiceLocations": [
{
"address_1": "1650 4th St SE",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559044717",
"country_code": "US",
"telephone_number": "507-529-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDAU",
"first_name": "JEFFREY",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "77084",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G50587",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "K4934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029520602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "8AJ901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.