NPIMap

Organization Active NPI

Pulmonary & Critical Care Associates of the Tri-Cities PC

Doing business as Tri-Cities Medical Specialists PC

  • Pulmonary Disease Physician
  • Hopewell, VA
National Provider Identifier
1821057639
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PULMONARY & CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC
Doing business as
Tri-Cities Medical Specialists PC
Practice address
602 N 6TH Ave
Hopewell, VA 23860-2621
Phone
(804) 458-7814
Fax
(804) 458-7781
NPI assigned
Mar 21, 2006
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mohammad Farooq, MD
Title
President
Phone
(804) 458-7814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

602 N 6TH Ave
Hopewell, VA 23860-2621

Mailing address

PO Box 11768
Richmond, VA 23230-0168
Phone (804) 672-4833

Other identifiers 1

IdentifierTypeStateIssuer
CI3965OtherVAMEDICARE RAILROAD

Other names 1

  • Tri-Cities Medical Specialists PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000618 VA Part B Supplier - Clinic/Group Practice 8426035890 Receives reassigned benefits from 8 practitioners
Practice locations: Hopewell, VA

National Provider Directory

National Provider Directory

Locations

603 Eppes St
Hopewell, VA 23860
Phone (804) 306-3705

261 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 835-9748

Practitioners & affiliated clinicians

Practitioners 11

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1821057639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-672-4833",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 6TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602621",
            "telephone_number": "804-458-7814",
            "fax_number": "804-458-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-458-7814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI3965",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Medical Specialists PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.