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TILLMAN LANDERS DO
NPI 1154023687
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since March 20, 2023PECOS Enrolled
6675 HOLMES RD STE 310, KANSAS CITY, MO 64131(816) 276-8527 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tillman Landers Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILLMAN LANDERS DO (NPI 1154023687) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154023687
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTILLMAN LANDERSCredential: DO
Location Address6675 HOLMES RD STE 310Kansas City, MO 64131-1167
Mailing Address6675 Holmes Rd Ste 310Kansas City, MO 64131-1167 · (816) 276-8527
Phone(816) 276-8527
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1154023687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6675 HOLMES RD STE 310, Kansas City, MO 64131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tillman Landers Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tillman Landers's NPI number?

The NPI number for Tillman Landers is 1154023687. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Tillman Landers located?

Tillman Landers practices at 6675 Holmes Rd Ste 310, Kansas City, MO 64131. The listed phone number is (816) 276-8527.

What is Tillman Landers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tillman Landers enrolled in Medicare?

Yes. Tillman Landers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tillman Landers was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.