Organization Active NPI

Lehigh Pulmonary Associates, Inc

  • Specialist
  • Lehigh Acres, FL
National Provider Identifier
1427120484
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME85931 Issued in FL
Legal business name
LEHIGH PULMONARY ASSOCIATES, INC
Doing business as
Florida Lung & Sleep Associates
Practice address
2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971-1569
Phone
(239) 369-3333
Fax
(239) 369-4837
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. Alaa A El-Gendy, M.D.NPI 1437186970
Title
Director
Phone
(239) 369-3333

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME85931 FL Primary

Addresses

Primary practice location

2625 Lee Blvd
Suite 100
Lehigh Acres, FL 33971-1569

Mailing address

PO Box 3445
N Fort Myers, FL 33918-3445
Phone (239) 369-3333

Other practice location 1

14651 Palm Beach Blvd Ste 105
Fort Myers, FL 33905-2331
Phone (239) 369-3333

Other identifiers 1

IdentifierTypeStateIssuer
000657700MedicaidFL

Other names 1

  • Florida Lung & Sleep Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000411 FL Part B Supplier - Clinic/Group Practice 7911978036 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Myers, FL; Lehigh Acres, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1086474Lehigh Pulmonary Associates2625 Lee Blvd Ste 100, Lehigh Acres, FL 33971AccreditationJul 22, 2027

National Provider Directory

National Provider Directory

Locations

2625 Lee Blvd
Lehigh Acres, FL 33971

2625 Lee Blvd
Ste 100
Lehigh Acres, FL 33971
Phone (239) 369-3333

1878 N Tamiami Trl
North Fort Myers, FL 33903
Phone (239) 369-3333

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1427120484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339183445",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 LEE BLVD",
            "address_2": "SUITE 100",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711569",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14651 Palm Beach Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339052331",
            "country_code": "US",
            "telephone_number": "239-369-3333",
            "fax_number": "239-369-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEHIGH PULMONARY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "EL-GENDY",
        "authorized_official_first_name": "ALAA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-369-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000657700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Lung & Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Lung & Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.