Active NPI
Pulmonary Sleep and Critical Care Specialists PL
- Pulmonary Disease Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fabrizio Monge, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2094420 | Pulmonary Sleep and Critical Care Specialist | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
14942 Tamiami Trl
Unit Ab
North Port, FL 34287
Phone (941) 475-6571
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
25086 Olympia Ave
Unit 300
Punta Gorda, FL 33950
Phone (941) 205-5300
Interoperability endpoints
- 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.
-
- Pulmonary Disease Physician
- Port Charlotte, FL
- NPI 1851528202
Critical Care Medicine, FL
-
- Pulmonary Disease Physician
- Port Charlotte, FL
- NPI 1801030408
Critical Care Medicine, FL
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.