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DR. KENNETH WAYNE LANDIS M.D.
NPI 1861463077
Internal Medicine in Hawthorne, CA

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
4477 W 118TH ST STE 401, HAWTHORNE, CA 90250(310) 822-2255(310) 970-1979 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth Wayne Landis M.d. NPPES

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

DR. KENNETH WAYNE LANDIS M.D. (NPI 1861463077) is an individual internal medicine provider in Hawthorne, California, licensed in California (G29787) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marina Del Rey, and is a graduate of University Of California, Geffen School Of Medicine (1974).

NPPES Registry Identity

NPI1861463077
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH WAYNE LANDISCredential: M.D.
Location Address4477 W 118TH ST STE 401Hawthorne, CA 90250-2269
Mailing Address4477 W 118th St Ste 401Hawthorne, CA 90250-2269 · (310) 822-2255 · Fax (310) 970-1979
Phone(310) 822-2255
Fax(310) 970-1979
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1974
Enumeration DateJanuary 27, 2006
Last NPPES UpdateNovember 14, 2019
✔ NPI 1861463077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G29787
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License G29787 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License G29787 (CA)
4477 W 118TH ST STE 401, Hawthorne, CA 90250
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Secondary Practice Location 1

Location 14644 Lincoln Blvd, Suite 500Marina Del Rey, CA 90292-6313 · Phone (310) 822-2255 · Fax (310) 822-0044

Other Identifiers 3

Medicaid00G297870CA
OtherCP9010CA · Railroad Medicare
Other290003222Railroad Retirement Board

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

Dr. Kenneth Wayne Landis M.d. 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 ID5799707493
PECOS Enrollment IDI20051221001094
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 Reassignment

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

Kenneth Landis M D A Medical Corporation
6.2 mi
Internal Medicine
4644 LINCOLN BLVD, SUITE 500
Marina Del Rey, CA 90292
  • Reassigned Medicare billing, California enrollment
NPI 1184799520 (310) 822-2255

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
406 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services68 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services21 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90250 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kenneth Landis's NPI number?

The NPI number for Kenneth Landis is 1861463077. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Kenneth Landis located?

Kenneth Landis practices at 4477 W 118th St Ste 401, Hawthorne, CA 90250. The listed phone number is (310) 822-2255.

What is Kenneth Landis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Landis enrolled in Medicare?

Yes. Kenneth 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 organization bills Medicare for Kenneth Landis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Landis reassigns Medicare benefits to Kenneth Landis M D A Medical Corporation (Marina Del Rey, CA). 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 Kenneth Landis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Landis was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.