DR. DEREK LANDIS DC
NPI 1578422200
Chiropractor in Richmond, MI

Active since January 19, 2026
66990 GRATIOT AVE, RICHMOND, MI 48062(586) 727-8900 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Derek Landis Dc NPPES

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

DR. DEREK LANDIS DC (NPI 1578422200) is an individual chiropractor in Richmond, Michigan, licensed in Michigan (2301401689) and active in the NPI registry since January 2026. He maintains a secondary practice location in Washington and is a graduate of Other (2026).

NPPES Registry Identity

NPI1578422200
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK LANDISCredential: DC
Location Address66990 GRATIOT AVERichmond, MI 48062-1913
Mailing Address6747 Marsh RdCottrellville, MI 48039-2107 · (810) 278-4987
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 19, 2026
✔ NPI 1578422200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301401689
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
66990 GRATIOT AVE, Richmond, MI 48062

Secondary Practice Location 1

Location 167200 Van Dyke Rd Ste 203Washington, MI 48095-1463 · Phone (586) 310-5065

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek Landis Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567944473
PECOS Enrollment IDI20260228000559

Medicare Billing Reassignment

Medicare enrollment records show Derek Landis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
35000 DIVISION RD, SUITE 7
Richmond, MI 48062
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Massage Therapist
66990 GRATIOT AVE
RICHMOND, MI 48062
Clinic/Center
66990 GRATIOT AVE
RICHMOND, MI 48062

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 1578422200. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Derek Landis located?

Derek Landis practices at 66990 Gratiot Ave, Richmond, MI 48062. The listed phone number is (586) 727-8900.

What is Derek Landis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derek Landis enrolled in Medicare?

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

Which organization bills Medicare for Derek Landis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Landis reassigns Medicare benefits to Varga Family Chiropractic, PLLC (Richmond, MI). The 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 Derek Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Landis accept?

Health plans from Priority Health 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 January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.