NPIMap

Organization Active NPI

Pulmonary Sleep and Critical Care Specialists PL

  • Pulmonary Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1215367115
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS PL
Practice address
4235 Kings Hwy
Ste 103
Port Charlotte, FL 33980-8421
Phone
(941) 613-1777
Fax
(941) 613-1779
NPI assigned
Nov 14, 2013
Last updated
Aug 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Dr. Fabrizio Monge, MDNPI 1972605434
Title
Member
Phone
(941) 613-1777

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: 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

4235 Kings Hwy
Ste 103
Port Charlotte, FL 33980-8421

Mailing address

4235 Kings Highway
Suite 103
Port Charlotte, FL 33980
Phone (941) 613-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202000326 FL Part B Supplier - Clinic/Group Practice 6901032630 Receives reassigned benefits from 11 practitioners
Practice locations: Englewood, FL; North Port, FL; Port Charlotte, FL; Punta Gorda, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2094420Pulmonary Sleep and Critical Care Specialist4235 Kings Hwy Ste 103, Port Charlotte, FL 33980Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

14942 Tamiami Trl
Ste A
North Port, FL 34287

14942 Tamiami Trl
Ste Ab
North Port, FL 34287

14942 Tamiami Trl
Ste B
North Port, FL 34287

14942 Tamiami Trl
Unit Ab
North Port, FL 34287
Phone (941) 475-6571

25086 Olympia Ave
Unit 300
Punta Gorda, FL 33950
Phone (941) 205-5300

4235 Kings Hwy
Unit 103
Punta Gorda, FL 33980
Phone (941) 613-1777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2765/brand/2/csg/21/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1215367115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 KINGS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33980",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 KINGS HWY",
            "address_2": "STE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "MONGE",
        "authorized_official_first_name": "FABRIZIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-613-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.