Individual provider Active NPI

Mark Edwin Lund, M.D., FCCP

  • Pulmonary Disease Physician
  • Philadelphia, PA
National Provider Identifier
1952330300
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD068904L Issued in PA
Practice address
1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Phone
(215) 537-7400
Fax
(215) 537-7193
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 016166 ME
Pulmonary Disease Physician 207RP1001X 016166 ME
Pulmonary Disease Physician 207RP1001X MD068904L PA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD068904L PA

Addresses

Primary practice location

1331 E Wyoming Ave
Philadelphia, PA 19124-3808

Mailing address

1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Phone (215) 537-7400

Other identifiers 3

IdentifierTypeStateIssuer
060487OtherMEANTHEM
3180515OtherMEAETNA HMO
7006447OtherMEAETNA NON HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000267 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820033061 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016166MEMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Health Services PC Pulmonary Disease CurrentSince Dec 1, 2020 Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC Pulmonary Disease CurrentSince Sep 1, 2022 Accepting new patients
Central Maine Pulmonary Associates Past Accepting new patients

Locations

601 Dresher Rd
Ste 203B
Horsham, PA 19044
Phone (267) 500-5027

1240 S Broad St
Ste 230
Lansdale, PA 19446
Phone (267) 500-5027

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

Interoperability endpoints

  • Direct secure messaging: mark.lund@76967349977092.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1952330300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-537-7400",
            "fax_number": "215-537-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E WYOMING AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243808",
            "telephone_number": "215-537-7400",
            "fax_number": "215-537-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "MARK",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D., FCCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ME",
            "license": "016166",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "016166",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD068904L",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD068904L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "060487",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3180515",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7006447",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.