Carolina Pulmonary & Sleep Clinic PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

2009-01120 Issued in NC

Legal business name

CAROLINA PULMONARY & SLEEP CLINIC PLLC

Practice address

3750 NW Cary Pkwy Ste 120
Cary, NC 27513-8432

Phone

(919) 439-8580

Fax

(919) 463-5600

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Priyan Samarakoon, MDNPI 1356395941

Title

Owner / Organizer

Phone

(919) 439-8580

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priyan Samarakoon, MD

  • Pulmonary Disease Physician
  • Cary, NC
  • NPI 1356395941

  Internal Medicine, NC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1780980219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 NW CARY PKWY STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138432",
            "telephone_number": "919-439-8580",
            "fax_number": "919-463-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 NW CARY PKWY STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138432",
            "telephone_number": "919-439-8580",
            "fax_number": "919-463-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PULMONARY & SLEEP CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "SAMARAKOON",
        "authorized_official_first_name": "PRIYAN",
        "authorized_official_title_or_position": "OWNER / ORGANIZER",
        "authorized_official_telephone_number": "919-439-8580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01120",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2009-01120",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2009-01120",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NC",
            "license": "2009-01120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4222151",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5609",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2684188",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916950",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7462841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Medical Wave
• Carolina Partners in Mental
• Carolina Perinatal Associates, PLLC
• Carolina Pilonidal Center
• Carolina Psychiatry Center, PLLC
• Carolina Pulmonary Medicine, P.C.
• Carolina Retina Institute PC
• Carolina Sexual Wellness Center, PLLC
• Carolina Spine Center PA
• Carolina Therapy Associates, PLLC

• All providers in Cary, NC
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.