NPIMap

Organization Active NPI

Arizona Lung Sleep and Valley Fever Institute Inc

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1457568842
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34967 Issued in AZ
Legal business name
ARIZONA LUNG SLEEP AND VALLEY FEVER INSTITUTE INC
Practice address
14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200
Phone
(623) 242-9830
Fax
(623) 243-6733
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Jugroop S Brar, MDNPI 1548263825
Title
President
Phone
(623) 242-9830

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
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 34967 AZ
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 34967 AZ Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X 34967 AZ

Addresses

Primary practice location

14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200

Mailing address

14961 W Bell Rd
Surprise, AZ 85374-3200
Phone (623) 561-1456

Other identifiers 1

IdentifierTypeStateIssuer
114772MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000351 AZ Part B Supplier - Clinic/Group Practice 7618076100 Receives reassigned benefits from 11 practitioners
Practice locations: Goodyear, AZ; Surprise, AZ; Sun City West, AZ; Sun City, AZ

National Provider Directory

National Provider Directory

Locations

13216 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (602) 327-9569

13203 N 103rd Ave
#I1
Sun City, AZ 85351
Phone (623) 876-6676

14961 W Bell Rd
Ste 175
Surprise, AZ 85374
Phone (623) 242-9830

14961 W Bell Rd
Surprise, AZ 85374
Phone (623) 242-9830

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1457568842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-561-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-242-9830",
            "fax_number": "623-243-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LUNG SLEEP AND VALLEY FEVER INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "JUGROOP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-242-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "34967",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "34967",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "34967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114772",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.