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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: November 08, 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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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.

What insurance does Landis Plastic Surgery P C accept?

Health plans from Medica list Landis Plastic Surgery P C 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 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 10 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.