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BENJAMIN JOHN LANDIS MD
NPI 1699928739
Pediatrics - Pediatric Cardiology in New Haven, CT

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
330 CEDAR ST STE LMP 4085, NEW HAVEN, CT 06510(203) 785-2022(203) 737-2786 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 1, 2020, Apr 22, 2019 (2 updates tracked since 2019).

About Benjamin John Landis Md NPPES

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

BENJAMIN JOHN LANDIS MD (NPI 1699928739) is an individual pediatric cardiology provider in New Haven, Connecticut, licensed in Connecticut (82414) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2008).

NPPES Registry Identity

NPI1699928739
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameBENJAMIN JOHN LANDISCredential: MD
Location Address330 CEDAR ST STE LMP 4085New Haven, CT 06510-3218
Mailing AddressPo Box 208064New Haven, CT 06520-8064 · (203) 785-2022 · Fax (203) 737-2786
Phone(203) 785-2022
Fax(203) 737-2786
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2008
Enumeration DateNovember 3, 2008
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1699928739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CT · 82414
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
330 CEDAR ST STE LMP 4085, New Haven, CT 06510
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Other Identifiers 1

Medicaid201294740IN

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

Benjamin John Landis 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 ID1153632682
PECOS Enrollment IDI20251218001220
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.

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 Benjamin Landis's NPI number?

The NPI number for Benjamin Landis is 1699928739. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Benjamin Landis located?

Benjamin Landis practices at 330 Cedar St Ste Lmp 4085, New Haven, CT 06510. The listed phone number is (203) 785-2022.

What is Benjamin Landis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Benjamin Landis enrolled in Medicare?

Yes. Benjamin Landis 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 Benjamin Landis was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.