Organization Active NPI

Lung Health Center PLLC

  • Pulmonary Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1083148217
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301108964 Issued in MI
Legal business name
LUNG HEALTH CENTER PLLC
Practice address
75 Barclay Cir
Suite 205
Rochester Hills, MI 48307-5820
Phone
(248) 651-6430
Fax
(248) 650-1382
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Fadi Alkhankan, MDNPI 1639383664
Title
Owner
Phone
(248) 651-6430

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 Physician 207RP1001X 4301108964 MI Primary

Addresses

Primary practice location

75 Barclay Cir
Suite 205
Rochester Hills, MI 48307-5820

Mailing address

75 Barclay Cir
Suite 205
Rochester Hills, MI 48307-5820
Phone (248) 651-6430

Other names 1

  • Fadi Alkhankan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170825001337 MI Part B Supplier - Clinic/Group Practice 6709158769 Receives reassigned benefits from 2 practitioners
Practice locations: Lansing, MI; Lapeer, MI; Pontiac, MI; Rochester Hills, MI; Troy, MI

National Provider Directory

National Provider Directory

Locations

1540 Lake Lansing Rd
Ste 205
Lansing, MI 48912
Phone (517) 253-3910

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1083148217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-651-6430",
            "fax_number": "248-650-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "ALKHANKAN",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301108964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fadi Alkhankan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.