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STEPHANIE CLOUGH LANDGRAF MD
NPI 1336609734
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
276 INTERNATIONAL CIR STE 3500, SAN JOSE, CA 95119(408) 972-6884 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2023, Mar 21, 2019 (2 updates tracked since 2019).

About Stephanie Clough Landgraf Md NPPES

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

STEPHANIE CLOUGH LANDGRAF MD (NPI 1336609734) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1336609734
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE CLOUGH LANDGRAFCredential: MD
Location Address276 INTERNATIONAL CIR STE 3500San Jose, CA 95119-1130
Mailing Address276 International Cir Ste 3500San Jose, CA 95119-1130
Phone(408) 972-6884
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1336609734 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.
276 INTERNATIONAL CIR STE 3500, San Jose, CA 95119
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Other Names 1

Former Name (1)Stephanie Racz Clough

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Clough Landgraf Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688074958
PECOS Enrollment IDI20231206002244
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LICI SHEN MD
Student in an Organized Health Care Education/Training Program
276 INTERNATIONAL CIR STE 3500
SAN JOSE, CA 95119
Santa Clara County (408) 316-7321

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 Stephanie Landgraf's NPI number?

The NPI number for Stephanie Landgraf is 1336609734. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Stephanie Racz Clough.

Where is Stephanie Landgraf located?

Stephanie Landgraf practices at 276 International Cir Ste 3500, San Jose, CA 95119. The listed phone number is (408) 972-6884.

What is Stephanie Landgraf's specialty?

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

Is Stephanie Landgraf enrolled in Medicare?

Yes. Stephanie Landgraf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Landgraf was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.