Active NPI
Lungmd, PA
- Pulmonary Disease Physician
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- LUNGMD, PA
- Practice address
- 4469 S Congress Ave Ste 106
Palm Springs, FL 33461-4726 - Phone
- (561) 954-2731
- Fax
- (561) 257-0227
- NPI assigned
- Mar 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Pena-Hernandez, MD FCCP
- Title
- Medical Director
- Phone
- (248) 228-0036
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
4469 S Congress Ave Ste 106
Palm Springs, FL 33461-4726
Mailing address
5260 Homeland Rd
Lake Worth, FL 33449-8467
Phone (248) 228-0036
Other names 1
- Ideal Primary Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2322151 | Lung MD Dba Ideal Primary Care | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
4469 S Congress Ave
Ste 106
Palm Springs, FL 33461
Phone (561) 642-0768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Atlantis, FL
- NPI 1457562159
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1891597050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 HOMELAND RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334498467",
"telephone_number": "248-228-0036",
"fax_number": "561-257-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4469 S CONGRESS AVE STE 106",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614726",
"telephone_number": "561-954-2731",
"fax_number": "561-257-0227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNGMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "PENA-HERNANDEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "248-228-0036",
"authorized_official_credential": "MD FCCP"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ideal Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.