Intensive Pulmonology Inc.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

D0050412 Issued in MD

Legal business name

INTENSIVE PULMONOLOGY INC.

Practice address

7500 Hanover Pkwy Ste 105B
Greenbelt, MD 20770-2091

Phone

(301) 593-8500

Fax

(301) 593-7547

NPI assigned

Jun 29, 2006

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natesa Shanmugam, M.D.NPI 1235160540

Title

Sole Proprietor

Phone

(202) 468-3303

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• INTELLIMED INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Locations

Practitioners 1

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.

• Natesa Pandian Shanmugam, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1235160540

  DC, VA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1861420952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 SELINE WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542872",
            "telephone_number": "202-468-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 105B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702091",
            "telephone_number": "301-593-8500",
            "fax_number": "301-593-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 Greenbelt Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062273",
            "country_code": "US",
            "telephone_number": "301-552-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTENSIVE PULMONOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAM",
        "authorized_official_first_name": "NATESA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "202-468-3303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0050412",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0050412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746801600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTELLIMED INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "INTELLIMED INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.