DR. ANDREW BRUCE LANDES (MD) – Diagnostic Radiology Physician, NPI 1134291040

DR. ANDREW BRUCE LANDES (MD) is a healthcare provider. based in Chicago, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2024005772 (MO). The NPI Number for DR. ANDREW BRUCE LANDES (MD) is 1134291040

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW BRUCE LANDES (MD)
NPI
1134291040
Phone
(314) 362-7200
Address
PO BOX 7412011
Enumeration Date
15 November 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
31436272001
Graduation Year
1988 (38 years ago)
PAC ID
9335183961
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20250611001464
Address ID
MO631101016SA510XXBLVD400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,218 DIAGNOSTIC RADIOLOGY in MO

Provider Addresses for DR. ANDREW BRUCE LANDES (MD)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • 510 S KINGSHIGHWAY BLVD

    DEPT RADIOLOGY

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

  • Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Type: Mailing

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023134

    Phone: (207) 662-2571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-06-11

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
I20250611001464IDiagnostic RadiologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view157145$0
74230Imaging for evaluation of swallowing function9189$0
70450Ct scan head or brain without contrast8282$0
71046X-ray of chest, 2 views7672$0
71250Ct scan of chest without contrast7070$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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Provider's Procedures

DR. ANDREW BRUCE LANDES (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYME71250CT scan chest2321
DIAGNOSTIC RADIOLOGYME74177CT scan of abdomen and pelvis with contrast4543

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: 9830008770View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. ANDREW BRUCE LANDES (MD)?
Save NPI 1134291040 if you need a stable reference for DR. ANDREW BRUCE LANDES (MD).
Is DR. ANDREW BRUCE LANDES (MD)'s NPI currently valid?
The extract we use shows DR. ANDREW BRUCE LANDES (MD) as active.
What kind of provider is DR. ANDREW BRUCE LANDES (MD)?
The page reflects Diagnostic Radiology Physician for DR. ANDREW BRUCE LANDES (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW BRUCE LANDES (MD)?
We surface Chicago, Illinois for DR. ANDREW BRUCE LANDES (MD) based on available NPPES addresses.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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