NPIMap

Organization Active NPI

Pulmonary Specialists of Michigan, PC

  • Pulmonary Disease Physician
  • Dearborn, MI
National Provider Identifier
1265712012
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY SPECIALISTS OF MICHIGAN, PC
Practice address
23500 Park St.
Suite #3
Dearborn, MI 48124
Phone
(313) 271-5565
Fax
(313) 271-1053
NPI assigned
Aug 25, 2011
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Jane Bening
Title
Biller
Phone
(866) 309-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

23500 Park St.
Suite #3
Dearborn, MI 48124

Mailing address

3200 Greenfield Rd
Suite 250
Dearborn, MI 48120-1802
Phone (313) 563-3332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000382 MI Part B Supplier - Clinic/Group Practice 6204003999 Receives reassigned benefits from 10 practitioners
Practice locations: Wayne, MI; Dearborn, MI; Taylor, MI; Garden City, MI

National Provider Directory

National Provider Directory

Locations

18100 Oakwood Blvd
Ste 310
Dearborn, MI 48124
Phone (313) 438-9800

24050 Oxford St
Dearborn, MI 48124
Phone (313) 292-3500

24050 Oxford St
Ste 208
Dearborn, MI 48124

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1265712012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD",
            "address_2": "SUITE 250",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201802",
            "telephone_number": "313-563-3332",
            "fax_number": "313-563-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 PARK ST.",
            "address_2": "SUITE #3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-271-5565",
            "fax_number": "313-271-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SPECIALISTS OF MICHIGAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "BENING",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "866-309-3332"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.