CURTIS D LANDRETH (P.A.) – Physician Assistant, NPI 1700832128

CURTIS D LANDRETH (P.A.) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA14406 (CA). The NPI Number for CURTIS D LANDRETH (P.A.) is 1700832128

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
CURTIS D LANDRETH (P.A.)
NPI
1700832128
Phone
(702) 579-3203
Address
PO BOX 35380
Enumeration Date
26 May 2006
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097933311
Graduation Year
1997 (29 years ago)
PAC ID
0345287652
Group Practice PAC ID
0547164295
Professional Enrollment ID
I20050408000264
Address ID
CA923735916RE2XXXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for CURTIS D LANDRETH (P.A.)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Fax: (909) 796-4158

    Type: Mailing

  • 2, West Fern Avenue, Redlands, San Bernardino County, California, 92373, United States

    REDLANDS, CA 923735916

    Phone: (909) 793-3311

    Fax: (909) 796-4158

    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: 2005-04-08

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
I20050408000264IPhysician AssistantCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes506279$0
93288Evaluation of single, dual, multiple lead or leadless pacemaker system6441$0
93280Programming of dual lead pacemaker system2118$0
99212Established patient office or other outpatient visit, 10-19 minutes1712$0
93289Evaluation of single, dual, or multiple lead implantable defibrillator system1514$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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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: 0547164295View full group profile

Reviews

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Frequently asked questions

What NPI should I save for CURTIS D LANDRETH (P.A.)?
Save NPI 1700832128 if you need a stable reference for CURTIS D LANDRETH (P.A.).
Is CURTIS D LANDRETH (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CURTIS D LANDRETH (P.A.) list a primary specialty?
If you are matching referrals, note Physician Assistant for CURTIS D LANDRETH (P.A.). Clinical services aligned with this taxonomy classification.
What location shows for CURTIS D LANDRETH (P.A.)?
We surface Las Vegas, Nevada for CURTIS D LANDRETH (P.A.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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