NPIMap

Organization Active NPI

Tri-County Pulmonary and Critical Care PLLC

  • Pulmonary Disease Physician
  • Denver, NC
National Provider Identifier
1831635598
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TRI-COUNTY PULMONARY AND CRITICAL CARE PLLC
Practice address
1585 Forney Creek Pkwy Ste 2200
Denver, NC 28037-9522
Phone
(704) 951-8444
Fax
(704) 360-9978
NPI assigned
Jan 18, 2017
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Prag Gupta, MDNPI 1801879911
Title
President
Phone
(718) 938-6006

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

1585 Forney Creek Pkwy Ste 2200
Denver, NC 28037-9522

Mailing address

PO Box 3246
Mooresville, NC 28117-3246
Phone (704) 951-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170713003058 NC Part B Supplier - Clinic/Group Practice 8729358320 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC; Denver, NC
O20210115000360 SC Part B Supplier - Clinic/Group Practice 8729358320 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

268 Gillman Rd
Ste 100
Denver, NC 28037
Phone (704) 951-8444

Practitioners & affiliated clinicians

Practitioners 9

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": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1831635598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3246",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173246",
            "telephone_number": "704-951-8444",
            "fax_number": "704-951-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 FORNEY CREEK PKWY STE 2200",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379522",
            "telephone_number": "704-951-8444",
            "fax_number": "704-360-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY PULMONARY AND CRITICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-938-6006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.