Organization Active NPI

Pima Lung & Sleep, PC

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1104010107
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25848 Issued in AZ
Legal business name
PIMA LUNG & SLEEP, PC
Practice address
5310 N la Cholla Blvd
Tucson, AZ 85741-3815
Phone
(520) 229-8878
Fax
(520) 229-9107
NPI assigned
Sep 1, 2007
Reactivated
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Sarah Puri, M.D.NPI 1801384524
Title
Ceo & President
Phone
(520) 405-9181

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X 25648 AZ
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 25848 AZ Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 25648 AZ

Addresses

Primary practice location

5310 N la Cholla Blvd
Tucson, AZ 85741-3815

Mailing address

PO Box 65659
Tucson, AZ 85728-5659
Phone (520) 229-8878

Other identifiers 1

IdentifierTypeStateIssuer
CB3659OtherRAILROAD MCR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000816 AZ Part B Supplier - Clinic/Group Practice 1658264122 Receives reassigned benefits from 1 practitioner
Practice locations: Green Valley, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

514 E Whitehouse Canyon Rd
Green Valley, AZ 85614
Phone (520) 229-8878

514 E Whitehouse Canyon Rd
Ste 150
Green Valley, AZ 85614

5310 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-8878

Practitioners & affiliated clinicians

Practitioners 6

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": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1104010107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65659",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857285659",
            "telephone_number": "520-229-8878",
            "fax_number": "520-229-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413815",
            "telephone_number": "520-229-8878",
            "fax_number": "520-229-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMA LUNG & SLEEP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "deactivation_date": "2021-03-15",
        "reactivation_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "520-405-9181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "25648",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "25848",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": "25648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "CB3659",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.