Organization Active NPI

Pulmonary Medical Associates PA

  • Pulmonary Disease Physician
  • Port St Lucie, FL
National Provider Identifier
1578523445
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME30367 Issued in FL
Legal business name
PULMONARY MEDICAL ASSOCIATES PA
Practice address
1576 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5450
Phone
(772) 353-8313
Fax
(772) 879-9636
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Ramesh Nayyar, M.D.NPI 1881647857
Title
Owner
Phone
(772) 461-4834

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME39359 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME30367 FL Primary

Addresses

Primary practice location

1576 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5450

Mailing address

1576 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5450
Phone (772) 353-8313

Other practice location 1

2580 Rhode Island Ave
Fort Pierce, FL 34947-4777
Phone (772) 461-4834

Other identifiers 2

IdentifierTypeStateIssuer
066226700MedicaidFL
33850OtherFLBLUECROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000278 FL Part B Supplier - Clinic/Group Practice 4082603105 Receives reassigned benefits from 2 practitioners
Practice locations: Port St Lucie, FL; Palm City, FL; Ft Pierce, FL; Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

2580 Rhode Island Ave
Fort Pierce, FL 34947
Phone (772) 342-6911

1655 SE Walton Rd
Port St Lucie, FL 34952
Phone (772) 337-1333

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1578523445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525450",
            "telephone_number": "772-353-8313",
            "fax_number": "772-879-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525450",
            "telephone_number": "772-353-8313",
            "fax_number": "772-879-9636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Rhode Island Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349474777",
            "country_code": "US",
            "telephone_number": "772-461-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PULMONARY MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "NAYYAR",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-461-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39359",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME30367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066226700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "33850",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.