Organization Active NPI

Capital Lung

  • Pulmonary Disease Physician
  • Vienna, VA
National Provider Identifier
1629786181
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CAPITAL LUNG
Practice address
8230 Boone Blvd Ste 203
Vienna, VA 22182-2647
Phone
(703) 636-9919
Fax
(703) 636-9452
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Payam Pooyan, MDNPI 1841254265
Title
Medical Director, Owner
Phone
(703) 636-9919

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

8230 Boone Blvd Ste 203
Vienna, VA 22182-2647

Mailing address

9845 Coral Bells CT
Vienna, VA 22182-1470
Phone (703) 636-9919

Other identifiers 1

IdentifierTypeStateIssuer
0101257751OtherVAVA STATE BUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

8230 Boone Blvd
Ste 203
Vienna, VA 22182
Phone (703) 827-8688

Practitioners & affiliated clinicians

Practitioners 1

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1629786181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9845 CORAL BELLS CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821470",
            "telephone_number": "703-636-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BOONE BLVD STE 203",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822647",
            "telephone_number": "703-636-9919",
            "fax_number": "703-636-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL LUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "POOYAN",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "703-636-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE BUSINESS LICENSE",
            "identifier": "0101257751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.