Organization Active NPI

A Plus Pulmonary Center PC

  • Clinic/Center
  • Peoria, AZ
National Provider Identifier
1548781990
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
23833 Issued in AZ
Legal business name
A PLUS PULMONARY CENTER PC
Practice address
13352 N 83Rd Ave Ste A100
Peoria, AZ 85381-4158
Phone
(623) 977-8871
Fax
(623) 977-4826
NPI assigned
Jul 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Avtar S Bassin, MDNPI 1013998335
Title
Physician/Owner
Phone
(623) 977-8871

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
Clinic/Center 261Q00000X 23833 AZ Primary

Addresses

Primary practice location

13352 N 83Rd Ave Ste A100
Peoria, AZ 85381-4158

Mailing address

13352 N 83Rd Ave Ste A100
Peoria, AZ 85381-4158
Phone (623) 977-8871

Other identifiers 1

IdentifierTypeStateIssuer
351023MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170711002062 AZ Part B Supplier - Clinic/Group Practice 1456620251 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, 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
03D0939719A Plus Pulmonary Center13352 N 83Rd Ave, Ste a-100, Peoria, AZ 85381Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Locations

13352 N 83rd Ave
Ste A100
Peoria, AZ 85381
Phone (623) 977-8871

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAGFAD

Practitioners & affiliated clinicians

Practitioners 1

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": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548781990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13352 N 83RD AVE STE A100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814158",
            "telephone_number": "623-977-8871",
            "fax_number": "623-977-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13352 N 83RD AVE STE A100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814158",
            "telephone_number": "623-977-8871",
            "fax_number": "623-977-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLUS PULMONARY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BASSIN",
        "authorized_official_first_name": "AVTAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "623-977-8871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "23833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351023",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.