Organization Active NPI

Pulmonary Medical Consultants PA

  • Pulmonary Disease Physician
  • Tomball, TX
National Provider Identifier
1710029020
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K0681 Issued in TX
Legal business name
PULMONARY MEDICAL CONSULTANTS PA
Practice address
27721 Tomball Parkway
Suite 300
Tomball, TX 77375-6411
Phone
(281) 357-1300
Fax
(281) 357-1309
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Mustafa I Naeem, MDNPI 1740243153
Title
Medical Doctor
Phone
(281) 357-1300

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 K0681 TX Primary

Addresses

Primary practice location

27721 Tomball Parkway
Suite 300
Tomball, TX 77375-6411

Mailing address

27721 Tomball Parkway
Suite 300
Tomball, TX 77375-6411
Phone (281) 357-1300

Other identifiers 2

IdentifierTypeStateIssuer
89760XOtherTXBLUE CROSS BLUE SHIELD
113237503MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000082 TX Part B Supplier - Clinic/Group Practice 1254566458 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFIBD

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1710029020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27721 TOMBALL PARKWAY",
            "address_2": "SUITE 300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756411",
            "telephone_number": "281-357-1300",
            "fax_number": "281-357-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27721 TOMBALL PARKWAY",
            "address_2": "SUITE 300",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756411",
            "telephone_number": "281-357-1300",
            "fax_number": "281-357-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-357-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K0681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89760X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113237503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.