Organization Active NPI

Lung Associates PC

  • Pulmonary Disease Physician
  • Pontiac, MI
National Provider Identifier
1255394813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LUNG ASSOCIATES PC
Practice address
35 S Johnson
Ste 1D
Pontiac, MI 48341
Phone
(248) 332-0995
Fax
(248) 332-2470
NPI assigned
Apr 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Avinash M Desai, MD
Title
Officer Owner
Phone
(248) 332-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

35 S Johnson
Ste 1D
Pontiac, MI 48341

Mailing address

35 S Johnson
Ste 1D
Pontiac, MI 48341
Phone (248) 332-0995

Other identifiers 1

IdentifierTypeStateIssuer
11OF37790OtherMIBS - GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000956 MI Part B Supplier - Clinic/Group Practice 5496780629 Receives reassigned benefits from 2 practitioners
Practice locations: Commerce Township, MI; Royal Oak, MI; Waterford, MI

National Provider Directory

National Provider Directory

Locations

9640 Commerce Rd
Ste 103
Commerce Township, MI 48382
Phone (248) 681-7909

8391 Commerce Rd
Ste 109
Commerce Twp, MI 48382
Phone (248) 360-4747

35 S Johnson St
Ste 1D
Pontiac, MI 48341
Phone (248) 332-0995

155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239

Practitioners & affiliated clinicians

Practitioners 3

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255394813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON",
            "address_2": "STE 1D",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-332-0995",
            "fax_number": "248-332-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON",
            "address_2": "STE 1D",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-332-0995",
            "fax_number": "248-332-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER OWNER",
        "authorized_official_telephone_number": "248-332-2470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS - GROUP #",
            "identifier": "11OF37790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.