Organization Active NPI

Pulmonary Practice Associates MD PA

  • Pulmonary Disease Physician
  • Orange City, FL
National Provider Identifier
1114929643
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 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
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 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

Medicare participation

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

Enrollment records 1

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

National Provider Directory

Locations

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

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

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

1087 Town Center Dr
Orange City, FL 32763
Phone (386) 218-3862

8400 Red Bug Lake Rd
Oviedo, FL 32765
Phone (321) 415-1020

8400 Red Bug Lake Rd
Ste 1070
Oviedo, FL 32765

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

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.