Organization Active NPI

Consultants in Lungs and Critical Care LLC

  • Pulmonary Disease Physician
  • Decatur, TX
National Provider Identifier
1477060549
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CONSULTANTS IN LUNGS AND CRITICAL CARE LLC
Practice address
2301 S FM 51 Ste 300
Decatur, TX 76234-3864
Phone
(409) 627-1435
Fax
(940) 627-1453
NPI assigned
Jan 10, 2018
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Harpreet Suri, MDNPI 1821049875
Title
Owner
Phone
(817) 421-3949

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
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X M3759 TX
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2301 S FM 51 Ste 300
Decatur, TX 76234-3864

Mailing address

PO Box 93505
Southlake, TX 76092-0114
Phone (940) 627-1435

Other identifiers 3

IdentifierTypeStateIssuer
382928501MedicaidTX
181190303MedicaidTX
8JD305OtherTXBCBSTX - WCCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130000034 TX Part B Supplier - Clinic/Group Practice 9931469616 Receives reassigned benefits from 6 practitioners
Practice locations: Decatur, TX

National Provider Directory

National Provider Directory

Locations

609 Medical Center Dr
Ste 2500
Decatur, TX 76234
Phone (214) 337-6362

609 Medical Center Dr
Ste 2100
Decatur, TX 76234
Phone (940) 627-0044

Practitioners & affiliated clinicians

Practitioners 8

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1477060549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93505",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920114",
            "telephone_number": "940-627-1435",
            "fax_number": "940-627-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S FM 51 STE 300",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343864",
            "telephone_number": "409-627-1435",
            "fax_number": "940-627-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN LUNGS AND CRITICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-421-3949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M3759",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382928501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181190303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX - WCCA",
            "identifier": "8JD305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.