Organization Active NPI

Lung & Sleep Medicine, Inc.

  • Pulmonary Disease Physician
  • Manchester, MO
National Provider Identifier
1841487097
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R3P21 Issued in MO
Legal business name
LUNG & SLEEP MEDICINE, INC.
Practice address
13975 Manchester Rd
Suite 7
Manchester, MO 63011-4500
Phone
(314) 821-1222
Fax
(314) 754-9889
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Anthony M Masi, M.D.NPI 1902884844
Title
President/Physician
Phone
(314) 821-1222

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 MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X R3P21 MO Primary

Addresses

Primary practice location

13975 Manchester Rd
Suite 7
Manchester, MO 63011-4500

Mailing address

PO Box 66971
Saint Louis, MO 63166-6971
Phone (314) 821-1222

Other identifiers 3

IdentifierTypeStateIssuer
21754925801MedicaidIL
DO2796OtherMORAILROAD MEDICARE
506120005MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000035 MO Part B Supplier - Clinic/Group Practice 2062451370 Receives reassigned benefits from 1 practitioner
Practice locations: Ballwin, MO; Manchester, MO

National Provider Directory

National Provider Directory

Locations

1 Ginger Creek Pkwy
Slp Labs
Glen Carbon, IL 62034
Phone (618) 292-4945

505 Couch Ave
#330
Saint Louis, MO 63122
Phone (314) 965-9184

969 N Mason Rd
Ste 260
Saint Louis, MO 63141
Phone (314) 996-8680

13975 Manchester Rd
Ste 7
Wildwood, MO 63011
Phone (314) 303-0790

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1841487097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66971",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666971",
            "telephone_number": "314-821-1222",
            "fax_number": "314-754-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MANCHESTER RD",
            "address_2": "SUITE 7",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114500",
            "telephone_number": "314-821-1222",
            "fax_number": "314-754-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG & SLEEP MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "MASI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "314-821-1222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R3P21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21754925801",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO2796",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506120005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.