DR. LESLIE GRACE LANDRUM (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1104842483

DR. LESLIE GRACE LANDRUM (M.D.) is a healthcare provider. based in Rogers, Arkansas. specializing in HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. C7717 (AR). The NPI Number for DR. LESLIE GRACE LANDRUM (M.D.) is 1104842483

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LESLIE GRACE LANDRUM (M.D.)
NPI
1104842483
Phone
(479) 587-1700
Address
808 S 52nd St
Enumeration Date
13 July 2006
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4795871700
Graduation Year
1989 (37 years ago)
PAC ID
2668435124
Group Practice PAC ID
7416976196
Professional Enrollment ID
I20120509000524
Address ID
AR727034005FA3232XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

25 HOSPICE/PALLIATIVE CARE in AR

Provider Addresses for DR. LESLIE GRACE LANDRUM (M.D.)

  • 808 S 52nd St

    Rogers, AR 727588602

    Phone: (479) 587-1700

    Type: Location

  • 3232 N Northhills Blvd

    Fayetteville, AR 727034005

    Phone: (479) 750-7799

    Fax: (479) 751-5744

    Type: Location

  • Highlands Oncology Group, 3232, North Northhills Boulevard, North Hills Medical Park, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727034005

    Phone: (479) 750-7799

    Fax: (479) 751-5744

    Type: Mailing

  • Veterans Health Care System of the Ozarks, 1100, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727031944

    Phone: (479) 443-4301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($27).

Total Amount

$109

General + Research + Ownership

Payments

6

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120509000524IHospice/Palliative CareARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72758)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416976196View full group profile
NameSpecialtyState
Nurse PractitionerAR
-AR
Nurse PractitionerAR
Medical Oncology, HematologyAR
Nurse PractitionerAR
Nurse PractitionerAR
Radiation OncologyAR
H E M A T O L O G Y/ O N C O L O G YAR
Physician AssistantAR
-AR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. LESLIE GRACE LANDRUM (M.D.)?
Save NPI 1104842483 if you need a stable reference for DR. LESLIE GRACE LANDRUM (M.D.).
Is DR. LESLIE GRACE LANDRUM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. LESLIE GRACE LANDRUM (M.D.) work in?
You can think of DR. LESLIE GRACE LANDRUM (M.D.) as practicing within Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does DR. LESLIE GRACE LANDRUM (M.D.) practice in Arkansas?
You will see Rogers, Arkansas on file for DR. LESLIE GRACE LANDRUM (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. MILDRED A EHRHART (DO)

Hospitalist Physician
Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1134189137

DR. JUAN I LOMBEIDA (MD)

Hospice and Palliative Medicine (Internal Medicine) Physician
808 S 52nd St
NPI: 1043434202

DR. JANA MICHELE AYRES (D.O.)

Hospitalist Physician
Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1356555379

MANUEL E GONZALEZ (MD)

Hospitalist Physician
Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States
NPI: 1447440045

DR. MEGAN R DAVIS (M.D.)

Hospice and Palliative Medicine (Internal Medicine) Physician
3232 N NORTHHILLS BLVD
NPI: 1255623609