DR. MARK LANDY MD, PHD
NPI 1427751932
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Mark Landy's NPI number?

The NPI number for Mark Landy is 1427751932. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Mark Landy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Landy was last updated on April 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2023PECOS Enrolled

12631 EAST 17TH AVENUE, MAILSTOP 8202, AURORA, CO 80045(303) 724-7494 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark Landy Md, Phd NPPES

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

DR. MARK LANDY MD, PHD (NPI 1427751932) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427751932

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARK LANDYCredential: MD, PHD

Location Address12631 EAST 17TH AVENUE, MAILSTOP 8202Aurora, CO 80045

Mailing Address12631 East 17th Avenue, Mailstop 8202Aurora, CO 80045 · (303) 724-7494

Phone(303) 724-7494

Sole ProprietorNo

Enumeration DateMarch 23, 2023

Last NPPES UpdateApril 22, 2023

NPPES CertifiedApril 22, 2023

✔ NPI 1427751932 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.

12631 EAST 17TH AVENUE, Aurora, CO 80045

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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)

Dr. Mark Landy Md, Phd 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.

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