Active NPI
Pulmonary and Sleep Institute PLLC
- Pulmonary Disease Physician
- Chattanooga, TN
National Provider Identifier
1609515683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY AND SLEEP INSTITUTE PLLC
- Practice address
- 5109 Brainerd Rd
Chattanooga, TN 37411-3906 - Phone
- (423) 654-7400
- Fax
- (423) 654-7401
- NPI assigned
- May 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harsha Shanthaveerappa, MD
- Title
- President
- Phone
- (423) 654-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
5109 Brainerd Rd
Chattanooga, TN 37411-3906
Mailing address
PO Box 4099
Chattanooga, TN 37405-0099
Phone (423) 654-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220705002834 | TN | Part B Supplier - Clinic/Group Practice | 4183004435 |
Receives reassigned benefits from 1 practitioner Practice locations: Chattanooga, TN |
National Provider Directory
National Provider DirectoryLocations
4700 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 622-5900
5109 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 654-7400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIIHCD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Chattanooga, TN
- NPI 1093795858
Pulmonary Disease, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1609515683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4099",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374050099",
"telephone_number": "423-654-7400",
"fax_number": "423-654-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113906",
"telephone_number": "423-654-7400",
"fax_number": "423-654-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY AND SLEEP INSTITUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "SHANTHAVEERAPPA",
"authorized_official_first_name": "HARSHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-654-7400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.