Organization Active NPI

Midtown Pulmonary and Critical Care Specialists PLLC

  • Pulmonary Disease Physician
  • Mustang, OK
National Provider Identifier
1093222374
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
27815 Issued in OK
Legal business name
MIDTOWN PULMONARY AND CRITICAL CARE SPECIALISTS PLLC
Practice address
1104 E State Highway 152 Unit 1
Mustang, OK 73064-5116
Phone
(855) 541-2862
Fax
(405) 716-4808
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Muhammad K Ishaq, MDNPI 1134449242
Title
Owner
Phone
(855) 541-2862

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 MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 27815 OK Primary

Addresses

Primary practice location

1104 E State Highway 152 Unit 1
Mustang, OK 73064-5116

Mailing address

13908 Portofino Strada
Oklahoma City, OK 73170-5176
Phone (855) 541-2862

Other identifiers 1

IdentifierTypeStateIssuer
200331590AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180124002764 OK Part B Supplier - Clinic/Group Practice 2961761754 Receives reassigned benefits from 1 practitioner
Practice locations: Mustang, OK

National Provider Directory

National Provider Directory

Practitioners & 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": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1093222374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 PORTOFINO STRADA",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705176",
            "telephone_number": "855-541-2862",
            "fax_number": "405-716-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E STATE HIGHWAY 152 UNIT 1",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645116",
            "telephone_number": "855-541-2862",
            "fax_number": "405-716-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PULMONARY AND CRITICAL CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "ISHAQ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-541-2862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "27815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200331590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.