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LANDIS PLASTIC SURGERY P C
NPI 1265509350
Surgery - Plastic and Reconstructive Surgery in Wayzata, MN

Active since November 30, 2006
109 BUSHAWAY RD, SUITE 200, WAYZATA, MN 55391(763) 551-8985(763) 551-4897 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Landis Plastic Surgery P C NPPES

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

LANDIS PLASTIC SURGERY P C (NPI 1265509350) is a healthcare organization registered as a plastic and reconstructive surgery in Wayzata, Minnesota and active in the NPI registry since November 2006. The organization lists George H Landis, M.d., as its authorized official.

NPPES Registry Identity

NPI1265509350
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameLANDIS PLASTIC SURGERY P C
Location Address109 BUSHAWAY RD, SUITE 200Wayzata, MN 55391-1945
Mailing Address2805 Campus Drive, Suite 335Plymouth, MN 55441 · (952) 562-5940 · Fax (952) 562-5949
Phone(763) 551-8985
Fax(763) 551-4897
Organization SubpartNo
Authorized OfficialGeorge H LandisM.d. · (952) 562-5940
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 31, 2016
✔ NPI 1265509350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
109 BUSHAWAY RD, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landis Plastic Surgery P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Landis Plastic Surgery P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Landis, MD
Plastic and Reconstructive Surgery
NPI 1730182270
109 BUSHAWAY RD SUITE 200
Wayzata, MN 55391
(763) 551-8985
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Landis Plastic Surgery P C's NPI number?

The NPI number for Landis Plastic Surgery P C is 1265509350. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Landis Plastic Surgery P C located?

Landis Plastic Surgery P C is located at 109 Bushaway Rd Suite 200, Wayzata, MN 55391. The listed phone number is (763) 551-8985.

What is Landis Plastic Surgery P C's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Landis Plastic Surgery P C enrolled in Medicare?

Yes. Landis Plastic Surgery P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Landis Plastic Surgery P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Landis Plastic Surgery P C. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Landis Plastic Surgery P C was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.