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DEREK TODD LANDIS MD
NPI 1487854642
Pediatrics in Ardmore, OK

Active since July 24, 2007PECOS Enrolled
921 14TH AVE NW, ARDMORE, OK 73401(580) 223-5311(580) 223-8227 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Todd Landis Md NPPES

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

DEREK TODD LANDIS MD (NPI 1487854642) is an individual pediatrics provider in Ardmore, Oklahoma, licensed in Oklahoma (25666) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487854642
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDEREK TODD LANDISCredential: MD
Location Address921 14TH AVE NWArdmore, OK 73401-1837
Mailing Address4401 W Memorial Rd, Suite 140Oklahoma City, OK 73134-1785 · (405) 752-3162 · Fax (405) 936-5211
Phone(580) 223-5311
Fax(580) 223-8227
Sole ProprietorNo
Enumeration DateJuly 24, 2007
Last NPPES UpdateMay 20, 2014
✔ NPI 1487854642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 25666
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
921 14TH AVE NW, Ardmore, OK 73401
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Other Identifiers 2

Other36032OK · Obndd License
Other25666OK · Oklahoma Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Todd Landis Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC
Clinic/Center (Occupational Medicine)
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
TORIBIO C VELASQUEZ MD
Internal Medicine
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
SALLIE J WALKER MS, RN, ARNP
Nurse Practitioner (Family)
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
SUMMER KIRBY MD
Family Medicine
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
MEDICAL ARTS CLINIC OF ARDMORE INC
Pediatrics
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
BOBBY J ELLIS M.D.
Internal Medicine
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
LISA BURTON
Nurse Practitioner
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311
JERAD SCOTT WAGNER PA-C
Physician Assistant
921 14TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5311

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 Derek Landis's NPI number?

The NPI number for Derek Landis is 1487854642. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Derek Landis located?

Derek Landis practices at 921 14th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-5311.

What is Derek Landis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Derek Landis enrolled in Medicare?

Yes. Derek Landis is registered in the Medicare PECOS enrollment system.

What insurance does Derek Landis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Derek 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 Derek Landis was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.