NPIMap

Organization Active NPI

Pulmonary and Critical Care Associates, P.C.

  • Pulmonary Disease Physician
  • Leesburg, VA
National Provider Identifier
1023008182
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101043761 Issued in VA
Legal business name
PULMONARY AND CRITICAL CARE ASSOCIATES, P.C.
Practice address
19455 Deerfield Ave Ste 206
Leesburg, VA 20176-8102
Phone
(703) 858-9608
Fax
(703) 858-9618
NPI assigned
Oct 28, 2005
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Douglas Rennert, M.D.NPI 1992796502
Title
President
Phone
(703) 858-9608

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 0101043761 VA Primary

Addresses

Primary practice location

19455 Deerfield Ave Ste 206
Leesburg, VA 20176-8102

Mailing address

19455 Deerfield Ave Ste 206
Leesburg, VA 20176-8102
Phone (703) 858-9608

Other practice location 1

1860 Town Center Dr Ste 270
Reston, VA 20190-5899
Phone (703) 318-8157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040416000336 DC Part B Supplier - Clinic/Group Practice 3173518438 Receives reassigned benefits from 10 practitioners
Practice locations: Reston, VA
O20050415000639 VA Part B Supplier - Clinic/Group Practice 3173518438 Receives reassigned benefits from 5 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

19455 Deerfield Ave
Ste 206
Leesburg, VA 20176
Phone (703) 858-9608

44055 Riverside Pkwy
Ste 204
Leesburg, VA 20176
Phone (703) 858-3333

1830 Town Center Dr
Ste 401
Reston, VA 20190
Phone (703) 318-8157

1860 Town Center Dr
Ste 270
Reston, VA 20190
Phone (703) 318-8157

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1023008182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Town Center Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905899",
            "country_code": "US",
            "telephone_number": "703-318-8157",
            "fax_number": "703-318-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "RENNERT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-858-9608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101043761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.