DR. LATRAIA SHANAE LANDRUM MD
NPI 1508386871
Family Medicine - Sports Medicine in Offutt Afb, NE

Q: What is Latraia Landrum's NPI number?

The NPI number for Latraia Landrum is 1508386871. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Latraia Landrum's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Latraia Landrum was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 27, 2017PECOS Enrolled

2501 CAPEHART RD, OFFUTT AFB, NE 68113(719) 310-0627 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2022, Apr 25, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2017).

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About Dr. Latraia Shanae Landrum Md NPPES

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

DR. LATRAIA SHANAE LANDRUM MD (NPI 1508386871) is an individual sports medicine provider in Offutt Afb, Nebraska, licensed in Virginia (0101265749) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508386871

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. LATRAIA SHANAE LANDRUMCredential: MD

Location Address2501 CAPEHART RDOffutt Afb, NE 68113-1043

Mailing Address2501 Capehart RdBellevue, NE 68123-6418 · (402) 294-9258

Phone(719) 310-0627

Sole ProprietorNo

Enumeration DateJune 27, 2017

Last NPPES UpdateDecember 9, 20224 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1508386871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in VA · 0101265749

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101265749 (VA)

2501 CAPEHART RD, Offutt Afb, NE 68113

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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. Latraia Shanae Landrum 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 68113 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 20

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

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