Organization Active NPI

Arizona Lung Clinic PLLC

  • Pulmonary Disease Physician
  • Surprise, AZ
National Provider Identifier
1932594579
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ARIZONA LUNG CLINIC PLLC
Practice address
14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200
Phone
(623) 242-9830
Fax
(623) 243-6733
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Paramveer Bhugra, MDNPI 1154583847
Title
Owner
Phone
(623) 242-9830

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

14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200

Mailing address

24295 N 86TH Dr
Peoria, AZ 85383-1843
Phone (623) 242-9830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150627000060 AZ Part B Supplier - Clinic/Group Practice 0446562870 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory
Tax ID family
Arizona Lung Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13155 W McDowell Rd Ste 210
Goodyear, AZ 85395

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1932594579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24295 N 86TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831843",
            "telephone_number": "623-242-9830",
            "fax_number": "623-243-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-242-9830",
            "fax_number": "623-243-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LUNG CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "BHUGRA",
        "authorized_official_first_name": "PARAMVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-242-9830",
        "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 Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.