NPIMap

Organization Active NPI

Ocala Lung & Critical Care Assocates Inc

  • Pulmonary Disease Physician
  • Ocala, FL
National Provider Identifier
1245298405
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
OCALA LUNG & CRITICAL CARE ASSOCATES INC
Practice address
1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone
(352) 732-5552
Fax
(352) 732-1131
NPI assigned
May 3, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. Purushottam Mitra, M.D.NPI 1679536528
Title
Dr.
Phone
(352) 732-5552

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101

Mailing address

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Other identifiers 1

IdentifierTypeStateIssuer
38817OtherFLBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000350 FL Part B Supplier - Clinic/Group Practice 4587651492 Receives reassigned benefits from 34 practitioners
Practice locations: Ocala, FL; Summerfield, FL

National Provider Directory

National Provider Directory

Locations

9200 NW 36th Pl
#B
Gainesville, FL 32606
Phone (352) 376-8587

1834 SW 1st Ave
#9417
Ocala, FL 34471

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

7454 SW Highway 200
Ocala, FL 34476

10969 SE 175th Pl
Ste 200
Summerfield, FL 34491
Phone (352) 307-3804

1400 N US Highway 441
Ste 532
The Villages, FL 32159
Phone (352) 205-4090

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1245298405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA LUNG & CRITICAL CARE ASSOCATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "PURUSHOTTAM",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "352-732-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "38817",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.