Organization Active NPI

South Florida Pulmonary Partners LLC

  • Pulmonary Disease Physician
  • Deerfield BCH, FL
National Provider Identifier
1871278440
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SOUTH FLORIDA PULMONARY PARTNERS LLC
Practice address
1 W Sample Rd Ste 305
Deerfield BCH, FL 33064-3547
Phone
(954) 304-6614
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Neena Chandrasekaran, MDNPI 1083077192
Title
MD
Phone
(954) 304-6614

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 SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1 W Sample Rd Ste 305
Deerfield BCH, FL 33064-3547

Mailing address

9996 Espresso MNR
Boca Raton, FL 33496-3281
Phone (954) 304-6614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230718001789 FL Part B Supplier - Clinic/Group Practice 3274993514 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1871278440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9996 ESPRESSO MNR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963281",
            "telephone_number": "954-304-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD STE 305",
            "city": "DEERFIELD BCH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-304-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PULMONARY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKARAN",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "954-304-6614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.