GEORGE HAROLD LANDIS MD
NPI 1730182270
Surgery - Plastic and Reconstructive Surgery in Wayzata, MN

Active since May 29, 2005PECOS EnrolledAccepts Medicare Assignment
109 BUSHAWAY RD, SUITE 200, WAYZATA, MN 55391(763) 551-8985(763) 551-4897 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About George Harold Landis Md NPPES

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

GEORGE HAROLD LANDIS MD (NPI 1730182270) is an individual plastic and reconstructive surgery provider in Wayzata, Minnesota, licensed in Minnesota (34623) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of University Of Arizona College Of Medicine (1988).

NPPES Registry Identity

NPI1730182270
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameGEORGE HAROLD LANDISCredential: MD
Location Address109 BUSHAWAY RD, SUITE 200Wayzata, MN 55391-1945
Mailing AddressPo Box 667Circle Pines, MN 55014-0667 · (763) 551-8985 · Fax (763) 551-4897
Fax(763) 551-4897
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1988
Enumeration DateMay 29, 2005
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1730182270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MN · 34623
Definition
A surgeon who specializes in plastic and reconstructive surgery.
109 BUSHAWAY RD, Wayzata, MN 55391

Other Identifiers 3

Medicare UPINF81433
Medicare ID-Type Unspecified240000248
Medicaid943224800MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

George Harold 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 ID6002956158
PECOS Enrollment IDI20091221000438
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.

Medicare Billing Reassignments

2

Medicare enrollment records show George Landis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic and Reconstructive Surgery
109 BUSHAWAY RD, SUITE 200
Wayzata, MN 55391
  • Reassigned Medicare billing, Minnesota enrollment
Primary Care
15450 HIGHWAY 7
Minnetonka, MN 55345
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

Contractor
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391
Surgery (Plastic and Reconstructive Surgery)
109 BUSHAWAY RD, SUITE 200
WAYZATA, MN 55391
Chiropractor
109 BUSHAWAY RD, SUITE #100
WAYZATA, MN 55391
Dentist
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391
Chiropractor
109 BUSHAWAY RD, SUITE 100
WAYZATA, MN 55391
Optometrist
109 BUSHAWAY RD, STE 300
WAYZATA, MN 55391
Massage Therapist
109 BUSHAWAY RD, SUITE 200
WAYZATA, MN 55391
Dentist
109 BUSHAWAY RD, SUITE 300
WAYZATA, MN 55391

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 George Landis's NPI number?

The NPI number for George Landis is 1730182270. It was assigned to this individual provider in the NPPES registry on May 29, 2005.

Where is George Landis located?

George Landis practices at 109 Bushaway Rd Suite 200, Wayzata, MN 55391. The listed phone number is (763) 551-8985.

What is George Landis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is George Landis enrolled in Medicare?

Yes. George 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.

Which organizations bill Medicare for George Landis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Landis reassigns Medicare benefits to 2 organizations: Landis Plastic Surgery P C (Wayzata, MN) and North Memorial Health Care (Minnetonka, MN). Each 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 George Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is George Landis affiliated with any hospitals?

According to CMS data, George Landis is affiliated with North Memorial Health Hospital.

When was this NPI record last updated?

The NPPES record for George Landis was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.