NPIMap

Individual provider Active NPI

Jennifer K Clune, M.D.

  • Pulmonary Disease Physician
  • Dayton, OH
National Provider Identifier
1265589113
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35098075 Issued in OH
Practice address
1520 South Main Street
Suite 2
Dayton, OH 45409-2643
Phone
(937) 461-5815
Fax
(937) 461-2896
NPI assigned
Jan 4, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35098075 OH Primary

Addresses

Primary practice location

1520 South Main Street
Suite 2
Dayton, OH 45409-2643

Mailing address

1520 South Main Street
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815

Other identifiers 1

IdentifierTypeStateIssuer
3730393MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000050 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3173705688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Critical Care Consultants, IncGroup PAC ID 9234115379, 34 clinicians

Practice addresses (Care Compare)

1520 S Main St
Suite 2
Dayton, OH 45409-2643
Phone (937) 461-5815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.31 of 100Reported as individual
Quality
64.21
Promoting interoperability
97
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary & Critical Care Consultants, Inc Pulmonary Disease CurrentSince Aug 6, 2012 Accepting new patients
Upper Valley Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hospitalists at Stonecrest LLC Past Accepting new patients

Locations

1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815

2300 Miami Valley Dr
Ste 370
Dayton, OH 45459
Phone (937) 461-5815

Interoperability endpoints

  • Direct secure messaging: jennifer.clune@pulmcare.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1265589113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SOUTH MAIN STREET",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092643",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SOUTH MAIN STREET",
            "address_2": "SUITE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092643",
            "telephone_number": "937-461-5815",
            "fax_number": "937-461-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUNE",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35098075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.