CHARLES EDWARD LANDIS DO
NPI 1184184483
Pediatrics in Washington, MO
About Charles Edward Landis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES EDWARD LANDIS DO (NPI 1184184483) is an individual pediatrics provider in Washington, Missouri, licensed in Missouri (2022013547) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles Edward Landis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Landis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wildwood, MO 63040
- Reassigned Medicare billing, Missouri enrollment
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, MO 63090
WASHINGTON, MO 63090
WASHINGTON, MO 63090
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 Charles Landis's NPI number?
The NPI number for Charles Landis is 1184184483. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Charles Landis located?
Charles Landis practices at 851 E 5th St, Washington, MO 63090. The listed phone number is (636) 390-8555.
What is Charles Landis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Charles Landis enrolled in Medicare?
Yes. Charles Landis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charles Landis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Landis reassigns Medicare benefits to Mercy Clinic East Communities (Wildwood, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Landis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Charles Landis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Landis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Charles Edward Landis, DO · NPI 1184184483
Pediatrics physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1184184483 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2022013547 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 851 E 5TH ST, Washington, MO 63090-3135
- **Phone:** (636) 390-8555 · **Fax:** (636) 390-9444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic East Communities (NPI 1164857397, Wildwood, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184184483) · Data from the CMS NPPES public registry.