Active NPI
Mid-Atlantic Pulmonary and Sleep Medicine, LLC
- Pulmonary Disease Physician
- Owings Mills, MD
National Provider Identifier
1326887571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- MID-ATLANTIC PULMONARY AND SLEEP MEDICINE, LLC
- Practice address
- 11155 Red Run Blvd Ste 210
Owings Mills, MD 21117-9500 - Phone
- (410) 689-9245
- NPI assigned
- May 20, 2024
- Last updated
- Jun 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naveed Shah, MD
- Title
- Chief Medical Officer
- Phone
- (410) 689-9245
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | NU | Primary |
Addresses
Primary practice location
11155 Red Run Blvd Ste 210
Owings Mills, MD 21117-9500
Mailing address
11155 Red Run Blvd Ste 210
Owings Mills, MD 21117-9500
Phone (410) 689-9245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1716163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1326887571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 RED RUN BLVD STE 210",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211179500",
"telephone_number": "410-689-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 RED RUN BLVD STE 210",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211179500",
"telephone_number": "410-689-9245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-ATLANTIC PULMONARY AND SLEEP MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-20",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "NAVEED",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "410-689-9245",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.