Organization Active NPI

Lung Disease and Sleep Disorders Inc.

  • Pulmonary Disease Physician
  • Princeton, WV
National Provider Identifier
1902084072
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19059 Issued in WV
Legal business name
LUNG DISEASE AND SLEEP DISORDERS INC.
Practice address
1155 Mercer St
Princeton, WV 24740-3029
Phone
(304) 431-7000
Fax
(304) 431-7016
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Vishnu A. Patel, M.D.NPI 1265400865
Title
Owner
Phone
(304) 431-7000

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 19059 WV Primary

Addresses

Primary practice location

1155 Mercer St
Princeton, WV 24740-3029

Mailing address

PO Box 5757
Princeton, WV 24740-5757
Phone (304) 431-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080229000540 WV Part B Supplier - Clinic/Group Practice 8820172745 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, WV; Richlands, VA
O20130605000191 VA Part B Supplier - Clinic/Group Practice 8820172745 Receives reassigned benefits from 1 practitioner
Practice locations: Richlands, VA

National Provider Directory

National Provider Directory

Locations

1331 Southview Dr
Ste 7
Bluefield, WV 24701
Phone (304) 327-2976

1155 Mercer St
Princeton, WV 24740
Phone (304) 431-7000

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1902084072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5757",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247405757",
            "telephone_number": "304-431-7000",
            "fax_number": "304-431-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403029",
            "telephone_number": "304-431-7000",
            "fax_number": "304-431-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG DISEASE AND SLEEP DISORDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHNU",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-431-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "19059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.