Michael Leroy Landrum, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

56939 Issued in WI

Practice address

744 S Webster Ave
Green Bay, WI 54301-3505

Phone

(920) 433-3456

Fax

(920) 433-3469

NPI assigned

Oct 17, 2006

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, MI2 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

Specialty

Infectious DiseaseAlso: Internal Medicine

Education

University of Missouri, Columbia School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlandrum48109@direct.thedacare.org
• Direct secure messaging: mlandrum917213@direct.emplifyhealth.org

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473

  Corporate Director

  CMS ownership
• Bellin Memorial Hospital Inc

  dba FMC Kewaunee

  • Rural Health Clinic/Center
  • Kewaunee, WI
  • NPI 1699737379

  Corporate Director

  CMS ownership
• Bellin Memorial Hospital Inc

  dba Bellin Home Health Agency Home Care Services

  • Home Health Agency
  • Green Bay, WI
  • NPI 1831246404

  Corporate Director

  CMS ownership
• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585

  Corporate Director

  CMS ownership
• Bellin Memorial Hospital, Inc

  • Rehabilitation Hospital Unit
  • Green Bay, WI
  • NPI 1174689178

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Suring

  • Rural Health Clinic/Center
  • Suring, WI
  • NPI 1104418037

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center Inc

  dba Emplify Health Oconto Hospital

  • Critical Access Hospital
  • Oconto, WI
  • NPI 1356373302

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Marinette

  • Rural Health Clinic/Center
  • Marinette, WI
  • NPI 1528412673

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center Inc

  dba Emplify Health Oconto Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oconto, WI
  • NPI 1689151599

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Lakewood

  • Rural Health Clinic/Center
  • Lakewood, WI
  • NPI 1790284438

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center, Inc.

  dba Bellin Health Oconto Falls

  • Rural Health Clinic/Center
  • Oconto Falls, WI
  • NPI 1063038313

  Corporate Director

  CMS ownership
• Oconto Hospital & Medical Center, Inc.

  dba Bellin Health Crivitz

  • Rural Health Clinic/Center
  • Crivitz, WI
  • NPI 1174971725

  Corporate Director

  CMS ownership

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.

• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473
  Medicare reassignment NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health Heart & Vascular Crystal Falls

  • Cardiovascular Disease Physician
  • Crystal Falls, MI
  • NPI 1376649509
  Medicare reassignment NPD
• Bellin Memorial Hospital Inc

  dba FMC Seymour

  • Family Medicine Physician
  • Seymour, WI
  • NPI 1033171723
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD
• Bellin Memorial Hospital Inc

  dba FMC Brillion

  • Family Medicine Physician
  • Brillion, WI
  • NPI 1962464784
  NPD (past)
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Suring

  • Rural Health Clinic/Center
  • Suring, WI
  • NPI 1104418037
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1932280104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-3456",
            "fax_number": "920-433-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498014631",
            "country_code": "US",
            "telephone_number": "906-776-9040",
            "fax_number": "906-774-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291215",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "fax_number": "906-786-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "MICHAEL",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01054143A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "56939",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301503113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF INTERNAL MEDICINE/INFECTIOUS DISEASE",
            "identifier": "ABIM-MOC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick J Lamont, MD
• Frank James Lamphere, CRNA
• Lancaster Manor (Marla Vista Gardens Memory Care of Green Bay, LLC)
• Amanda Rose Landolt, FNP-C
• Emily K Landree, DDS
• Sandra Marie Landwehr, OD
• Karen M Lane, DO
• David G Lang, MD
• Dustin Bruce Lang, LAT
• Meghan Lange

• Infectious Disease Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Infectious Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.