LILY MOORE LANDRY M.D.
NPI 1942664917
Pediatrics - Pediatric Critical Care Medicine in Saint Petersburg, FL

Q: What is Lily Landry's NPI number?

The NPI number for Lily Landry is 1942664917. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Lily Landry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lily Landry was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 06, 2016PECOS Enrolled

501 6TH AVE S, SAINT PETERSBURG, FL 33701(727) 767-3728 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Lily Moore Landry M.d. NPPES

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

LILY MOORE LANDRY M.D. (NPI 1942664917) is an individual pediatric critical care medicine provider in Saint Petersburg, Florida, licensed in Florida (ME162790) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942664917

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameLILY MOORE LANDRYCredential: M.D.

Location Address501 6TH AVE SSaint Petersburg, FL 33701-4634

Mailing Address501 6th Ave SSaint Petersburg, FL 33701-4634 · (727) 767-3728

Phone(727) 767-3728

Sole ProprietorNo

Enumeration DateApril 6, 2016

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1942664917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME162790

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License T6938 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

501 6TH AVE S, Saint Petersburg, FL 33701

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Secondary Practice Locations 2

Location 16621 Fannin StHouston, TX 77030-2399 · Phone (832) 824-1065

Location 22500 N State StJackson, MS 39216-4500 · Phone (601) 815-8489

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Moore Landry M.d. 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.

Medicare Billing Reassignment

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

Pediatric Physician Services, Inc.

Same address

Pediatrics

501 6TH AVE S
St Petersburg, FL 33701

Reassigned Medicare billing, Florida enrollment
360 clinicians in this Medicare group

NPI 1770532798 (727) 898-7451

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 20

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

DR. STEPHEN ROGERS KENNEDY MD

Pediatrics

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4243

DR. WILLIAM EDWARD SCHAAF JR. M.D.

Radiology (Pediatric Radiology)

501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701

Pinellas County (727) 767-3318

KRISTY W PATEL MD

Hospitalist

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4243

JENNIFER FOUTCH M.S.W.

Social Worker

501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701

Pinellas County (727) 767-6794

SUSAN BUFFINGTON

Nurse Practitioner (Pediatrics)

501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701

Pinellas County (727) 767-3318

BRITTANY EASTER BOWER ARNP

Nurse Practitioner (Neonatal)

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4313

DR. DERECK DAVY PHRATHEP PH.D.

Psychologist

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4170

TARA MORDER

Nurse Practitioner (Neonatal)

501 6TH AVE S
ST PETERSBURG, FL 33701

Pinellas County (727) 767-4313

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 Lily Landry's NPI number?

The NPI number for Lily Landry is 1942664917. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Lily Landry located?

Lily Landry practices at 501 6th Ave S, Saint Petersburg, FL 33701. The listed phone number is (727) 767-3728.

What is Lily Landry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Lily Landry enrolled in Medicare?

Yes. Lily Landry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Landry reassigns Medicare benefits to Pediatric Physician Services, Inc. (St Petersburg, FL). 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 Lily Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Landry accept?

Health plans from Antidote Health of TX, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lily Landry 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 Lily Landry was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.