NPIMap

Pulmonary Practice Associates MD PA

Organization Active NPI Pulmonary Disease Physician · Orange City, FL

NPI 1114929643 · NPPES record last updated Jun 10, 2025

Key facts

NPI
1114929643
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
PULMONARY PRACTICE ASSOCIATES MD PA
Practice address
1075 Town Center Dr
Orange City, FL 32763-8360
Phone
(386) 917-0333
NPI assigned
Aug 15, 2005
Organization subpart
No

Authorized official

Name
Natasha Sierra
Title
Practice Manager
Phone
(386) 917-0333

Practitioners 37

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

View all 37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040323000731 FL Part B Supplier - Clinic/Group Practice 3779474333 Receives reassigned benefits from 34 practitioners
Practice locations: Lake Mary, FL; Orange City, FL

National Provider Directory

Locations

749 Stirling Center Pl
Bldg 8
Lake Mary, FL 32746
Phone (407) 321-8230

749 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 321-8230

1087 Town Center Dr
Ste 100
Orange City, FL 32763

8400 Red Bug Lake Rd
Ste 1070
Oviedo, FL 32765

8400 Red Bug Lake Rd
Ste 2010
Oviedo, FL 32765
Phone (321) 304-6249

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0200X
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X Yes
Sleep Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RS0012X

Addresses

Primary practice location

1075 Town Center Dr
Orange City, FL 32763-8360

Mailing address

1075 Town Center Dr
Orange City, FL 32763-8360
Phone (386) 917-0333

Other identifiers

IdentifierTypeStateIssuer
062453500MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2025.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1114929643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-917-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PRACTICE ASSOCIATES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "386-917-0333"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062453500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

All providers in Orange City, FL · Pulmonary Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.