Organization Active NPI

Pulmonary & Primary Care Associates of Plymouth, PC

  • Internal Medicine Physician
  • Plymouth, MA
National Provider Identifier
1710016316
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC
Practice address
116 Court St
Plymouth, MA 02360-3808
Phone
(508) 747-1318
Fax
(508) 747-1410
NPI assigned
Mar 2, 2007
Last updated
Sep 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Authorized official

Name
Dr. Robert Nahill, M.D.NPI 1073503751
Title
President
Phone
(508) 747-1318

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 Physician 207R00000X NU Primary
Pulmonary Disease Physician 207RP1001X NU

Addresses

Primary practice location

116 Court St
Plymouth, MA 02360-3808

Mailing address

116 Court St
Plymouth, MA 02360-3808
Phone (508) 747-1318

Other identifiers 5

IdentifierTypeStateIssuer
M17109OtherMAGROUP BCBS
9711040MedicaidMA
YY47OtherMAGROUP HARVARD PILGRIM
667829OtherMAGROUP TUFTS HEALTH PLAN
CH4053OtherMAGROUP RAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050531000414 MA Part B Supplier - Clinic/Group Practice 5597707604 Receives reassigned benefits from 6 practitioners
Practice locations: Plymouth, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0080098Pulmonary & Primary Care Assoc of Plym116 Court St, Plymouth, MA 02360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

116 Court St
Plymouth, MA 02360
Phone (508) 746-2138

Practitioners & affiliated clinicians

Practitioners 7

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1710016316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603808",
            "telephone_number": "508-747-1318",
            "fax_number": "508-747-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603808",
            "telephone_number": "508-747-1318",
            "fax_number": "508-747-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & PRIMARY CARE ASSOCIATES OF PLYMOUTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "NAHILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-747-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "M17109",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711040",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HARVARD PILGRIM",
            "identifier": "YY47",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TUFTS HEALTH PLAN",
            "identifier": "667829",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "CH4053",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.