NPIMap

Organization Active NPI

Lung and Sleep Specialists, PLLC

  • Pulmonary Disease Physician
  • New Albany, IN
National Provider Identifier
1699860346
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LUNG AND SLEEP SPECIALISTS, PLLC
Practice address
1850 State St
Attn: Sleep Clinic
New Albany, IN 47150-4990
Phone
(812) 949-5550
Fax
(812) 949-5748
NPI assigned
Oct 4, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Azmi Draw, MDNPI 1801878806
Title
Owner
Phone
(502) 216-0191

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
Pulmonary Disease Physician 207RP1001X 36883 KY
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1850 State St
Attn: Sleep Clinic
New Albany, IN 47150-4990

Mailing address

PO Box 950173
Louisville, KY 40295-0173
Phone (502) 213-9036

Other identifiers 2

IdentifierTypeStateIssuer
200862900 AMedicaidIN
65945966MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070217000033 KY Part B Supplier - Clinic/Group Practice 3577665843 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY
O20070411000455 IN Part B Supplier - Clinic/Group Practice 3577665843 Receives reassigned benefits from 2 practitioners
Practice locations: Charlestown, IN; Salem, IN; New Albany, IN; Jeffersonville, IN; Corydon, IN

National Provider Directory

National Provider Directory

Locations

1035 Wall St
Ste 104
Jeffersonvlle, IN 47130
Phone (502) 254-4014

201 E Chestnut St
Louisville, KY 40202
Phone (502) 629-7313

Practitioners & affiliated clinicians

Practitioners 3

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1699860346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950173",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950173",
            "telephone_number": "502-213-9036",
            "fax_number": "502-412-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 STATE ST",
            "address_2": "ATTN: SLEEP CLINIC",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504990",
            "telephone_number": "812-949-5550",
            "fax_number": "812-949-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG AND SLEEP SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "DRAW",
        "authorized_official_first_name": "AZMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-216-0191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "36883",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200862900 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945966",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.