Organization Active NPI

Pulmonary Associates, PA

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1497854269
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY ASSOCIATES, PA
Practice address
5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone
(480) 290-7000
Fax
(480) 325-3461
NPI assigned
Sep 21, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Cecilia Jenkins
Title
Assistant Administrator
Phone
(480) 290-7000

Specialties & licenses 2

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

Addresses

Primary practice location

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346

Mailing address

5151 E Broadway Rd Ste 107
Mesa, AZ 85206-1346
Phone (480) 290-7000

Other practice location 1

2550 W Union Hills Dr Ste 390
Phoenix, AZ 85027-5197
Phone (602) 443-4068

Other practice location 2

3811 E Bell Rd Ste 107
Phoenix, AZ 85032-2158
Phone (602) 340-1689

Other identifiers 1

IdentifierTypeStateIssuer
055170MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000004 AZ Part B Supplier - Clinic/Group Practice 6406842558 Receives reassigned benefits from 18 practitioners
Practice locations: Mesa, AZ; Phoenix, AZ

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
03D2082497Pulmonary Associates, PA3811 E Bell Rd Suite 107, Phoenix, AZ 85032Certificate of waiverAug 14, 2026
03D2278389Pulmonary Associates, PA2550 W Union Hills Ste 340, Phoenix, AZ 85027Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Locations

5750 W Thunderbird Rd
Bldg E
Glendale, AZ 85306
Phone (602) 298-1932

5757 W Thunderbird Rd
Ste W202
Glendale, AZ 85306
Phone (602) 298-1932

5151 E Broadway Rd
Ste 107
Mesa, AZ 85206
Phone (480) 290-7000

404 W Main St
Ste A
Payson, AZ 85541
Phone (602) 346-4746

1112 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-4951

15215 S 48th St
Ste 133
Phoenix, AZ 85044
Phone (480) 598-4012

19841 N 27th Ave
Ste 102
Phoenix, AZ 85027
Phone (602) 258-4951

2550 W Union Hills Dr
Ste 390
Phoenix, AZ 85027
Phone (602) 443-4068

9225 N 3rd St
Ste 205
Phoenix, AZ 85020
Phone (480) 867-7223

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19484/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1497854269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "602-254-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061346",
            "telephone_number": "480-290-7000",
            "fax_number": "480-325-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Union Hills Dr Ste 390",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275197",
            "country_code": "US",
            "telephone_number": "602-443-4068",
            "fax_number": "623-434-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3811 E Bell Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322158",
            "country_code": "US",
            "telephone_number": "602-340-1689",
            "fax_number": "602-340-1853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "480-290-7000"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.