DR. MILES M LANDIS (M.D.) – Pediatrics Physician, NPI 1104821081

DR. MILES M LANDIS (M.D.) is a healthcare provider. based in Lake mary, Florida. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. ME51571 (FL). The NPI Number for DR. MILES M LANDIS (M.D.) is 1104821081

Main info

Male
Name
DR. MILES M LANDIS (M.D.)
NPI
1104821081
Phone
(407) 323-3550
Address
410 WAYMONT CT
Enumeration Date
16 June 2005
Last Update Date
29 March 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MILES M LANDIS (M.D.)

  • 410, Waymont Court, Heathrow, Lake Mary, Seminole County, Florida, 32746, United States

    LAKE MARY, FL 327463485

    Phone: (407) 323-3550

    Fax: (407) 322-6127

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$23
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: 2017-05-15

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
I20170515000782IPediatric MedicineFLTBD

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 32746)

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Reviews

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Frequently asked questions

What number should I use to identify DR. MILES M LANDIS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104821081 for DR. MILES M LANDIS (M.D.).
Should I treat DR. MILES M LANDIS (M.D.) as an active provider?
Patients and plans typically see DR. MILES M LANDIS (M.D.) as active in the national extract.
What services align with DR. MILES M LANDIS (M.D.)'s listing?
DR. MILES M LANDIS (M.D.)'s public classification highlights Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MILES M LANDIS (M.D.)?
DR. MILES M LANDIS (M.D.) is associated with Lake Mary, Florida in the same public data insurers reference.
Can I export DR. MILES M LANDIS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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