Organization Active NPI

Pulmacare LLC

  • Pulmonary Disease Physician
  • Overland Park, KS
National Provider Identifier
1699590166
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMACARE LLC
Practice address
6600 College Blvd Ste 310
Overland Park, KS 66211-1522
Phone
(913) 647-1000
Fax
(913) 281-6447
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Mrs. Alex Nedzelskiy
Title
Billing Manager
Phone
(913) 228-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

6600 College Blvd Ste 310
Overland Park, KS 66211-1522

Mailing address

6600 College Blvd Ste 310
Overland Park, KS 66211-1522
Phone (913) 647-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231002385 KS Part B Supplier - Clinic/Group Practice 6709313869 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6600 College Blvd
Ste 310
Overland Park, KS 66211
Phone (913) 346-5688

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": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1699590166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BLVD STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111522",
            "telephone_number": "913-647-1000",
            "fax_number": "913-281-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BLVD STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111522",
            "telephone_number": "913-647-1000",
            "fax_number": "913-281-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "NEDZELSKIY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "913-228-1918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.