Organization Active NPI

American Lung and Sleep Disorders Consultants PA

  • Pulmonary Disease Physician
  • Pinellas Park, FL
National Provider Identifier
1467464990
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME68290 Issued in FL
Legal business name
AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
Practice address
6223 66TH Street North
Pinellas Park, FL 33781-5025
Phone
(727) 528-4900
Fax
(727) 528-8628
NPI assigned
Aug 13, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Rajesh Agrawal, MDNPI 1295712602
Title
Owner
Phone
(727) 528-4900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME68290 FL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME68290 FL

Addresses

Primary practice location

6223 66TH Street North
Pinellas Park, FL 33781-5025

Mailing address

6223 66TH Street North
Pinellas Park, FL 33781-5025
Phone (727) 528-4900

Other identifiers 4

IdentifierTypeStateIssuer
6000OtherAVMED GRP#
110200401OtherFLMEDICARE RAILROAD INDIVIDUAL
CH2504OtherFLMEDICARE RAILROAD GROUP
261164300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812001121 FL Part B Supplier - Clinic/Group Practice 6204808892 Receives reassigned benefits from 2 practitioners
Practice locations: Pinellas Park, FL

National Provider Directory

National Provider Directory

Locations

6223 66th St N
Pinellas Park, FL 33781
Phone (727) 528-4900

Practitioners & affiliated clinicians

Practitioners 5

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1467464990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 66TH STREET NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-528-4900",
            "fax_number": "727-528-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 66TH STREET NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-528-4900",
            "fax_number": "727-528-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-528-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME68290",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME68290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED GRP#",
            "identifier": "6000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDIVIDUAL",
            "identifier": "110200401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CH2504",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261164300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.