Randolph Pulmonary & Sleep Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RANDOLPH PULMONARY & SLEEP CLINIC, PLLC

Practice address

610 N Fayetteville St
Suite 300
Asheboro, NC 27203-4670

Phone

(336) 633-4020

Fax

(336) 633-4069

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tanvir Chodri, MDNPI 1952399784

Title

Partner

Phone

(336) 633-4020

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Randolph Pulmonary and Sleep Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randolph Pulmonary and Sleep Clinic PLLC

  • Durable Medical Equipment & Medical Supplies
  • Asheboro, NC
  • NPI 1568694149
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanvir Anwar Chodri, M.D.

  • Specialist
  • Asheboro, NC
  • NPI 1952399784
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Smith Rose, NP-C

  • Family Nurse Practitioner
  • Randleman, NC
  • NPI 1093111924
  Medicare reassignment Care Compare group NPD
• Umbreen J Chaudhary, M.D.

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1841288685

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1043357791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 300",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-633-4020",
            "fax_number": "336-633-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 300",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-633-4020",
            "fax_number": "336-633-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH PULMONARY & SLEEP CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "CHODRI",
        "authorized_official_first_name": "TANVIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-633-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP",
            "identifier": "4800358",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "016NJ",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016NJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph Hospital Inc.
• Randolph Hospital Inc.
• Randolph Hospital, Inc.
• Randolph Juvenile Day Reporting Center
• Randolph Primary Care, PA
• Randolph Pulmonary and Sleep Clinic PLLC
• Randolph Radiological Assoc Inc
• Randolph Specialty Group Practice
• Randolph Specialty Group Practice
• Randolph Specialty Group Practice

• Specialist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.