Organization Active NPI

Soham Pulmonary Group PA

  • Specialist
  • Sebring, FL
National Provider Identifier
1285836064
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME47525 Issued in FL
Legal business name
SOHAM PULMONARY GROUP PA
Practice address
6801 US Hwy 27 N
Suite D4
Sebring, FL 33870-7840
Phone
(863) 382-8877
Fax
(863) 382-9147
NPI assigned
Jun 4, 2007
Organization subpart
Yes
Parent organization
SOHAM PULMONARY GROUP PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Mr. Bipin C Bhatt, M.D.NPI 1396792263
Title
Owner
Phone
(863) 382-8877

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0047525 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME47525 FL Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME47525 FL

Addresses

Primary practice location

6801 US Hwy 27 N
Suite D4
Sebring, FL 33870-7840

Mailing address

6801 US Hwy 27 N
Suite D4
Sebring, FL 33870-7840
Phone (863) 382-8877

Other identifiers 1

IdentifierTypeStateIssuer
042833700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000428 FL Part B Supplier - Clinic/Group Practice 0042373458 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory
Tax ID family
Soham Pulmonary Group PA2 organizations share this tax ID, including this one
Part of
Soham Pulmonary Group PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1358 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-0227

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1285836064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 US HWY 27 N",
            "address_2": "SUITE D4",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-382-8877",
            "fax_number": "863-382-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HWY 27 N",
            "address_2": "SUITE D4",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-382-8877",
            "fax_number": "863-382-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAM PULMONARY GROUP PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOHAM PULMONARY GROUP PA",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "BIPIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-382-8877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047525",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47525",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME47525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042833700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.