Organization Active NPI

Pulmonary & Sleep Medicine Clinic LLC

  • Pulmonary Disease Physician
  • Algonquin, IL
National Provider Identifier
1811916927
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY & SLEEP MEDICINE CLINIC LLC
Practice address
2971 W Algonquin Rd Ste 104
Algonquin, IL 60102-9407
Phone
(847) 658-7693
Fax
(847) 658-7986
NPI assigned
Jul 19, 2006
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Firas Dairi, MDNPI 1710906847
Title
Owner
Phone
(847) 658-7693

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
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

2971 W Algonquin Rd Ste 104
Algonquin, IL 60102-9407

Mailing address

2971 W Algonquin Rd Ste 104
Algonquin, IL 60102-9407
Phone (847) 658-7693

Other identifiers 2

IdentifierTypeStateIssuer
05632031OtherILBLUE CROSS/SHIELD
DA6125OtherILRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000918 IL Part B Supplier - Clinic/Group Practice 2961434220 Receives reassigned benefits from 2 practitioners
Practice locations: Algonquin, IL; Barrington, IL; Elgin, IL; McHenry, IL; Woodstock, IL

National Provider Directory

National Provider Directory

Locations

2971 W Algonquin Rd
Algonquin, IL 60102
Phone (847) 489-1071

2971 W Algonquin Rd
#140
Algonquin, IL 60102
Phone (847) 658-7693

2971 W Algonquin Rd
Ste 104
Algonquin, IL 60102
Phone (847) 658-7693

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1811916927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 W ALGONQUIN RD STE 104",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029407",
            "telephone_number": "847-658-7693",
            "fax_number": "847-658-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 W ALGONQUIN RD STE 104",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029407",
            "telephone_number": "847-658-7693",
            "fax_number": "847-658-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & SLEEP MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "DAIRI",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-658-7693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "05632031",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DA6125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.