Active NPI
Pediatric Pulmonary Specialists
- Pediatrics Physician
- Brighton, MA
National Provider Identifier
1013139336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC PULMONARY SPECIALISTS
- Practice address
- 30 Warren Street
Brighton, MA 02135 - Phone
- (617) 783-0475
- Fax
- (617) 779-1239
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia S Kharasch, MD
- Title
- President
- Phone
- (617) 783-0475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Pulmonology Physician | 2080P0214X |
Addresses
Primary practice location
30 Warren Street
Brighton, MA 02135
Mailing address
PO Box 35825
Brighton, Ma, MA 02135
Phone (617) 783-0475
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9781056 | Medicaid | MA | |
| 3055736 | Medicaid | MA | |
| 1477553923 | Other | MA | INDIVIDUAL NPI NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1013139336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35825",
"city": "BRIGHTON, MA",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-783-0475",
"fax_number": "617-779-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARREN STREET",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "617-783-0475",
"fax_number": "617-779-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PULMONARY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KHARASCH",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-783-0475",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9781056",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3055736",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1477553923",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.