PULMONARY ASSOCIATES OF ST – Pulmonary Disease Physician, NPI 1801999545
Pulmonary Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PULMONARY ASSOCIATES OF ST
PO BOX 860305
ST AUGUSTINE, FL 320860305
Phone: (904) 824-4990
Fax: (904) 824-2226
Type: Mailing
400 Health Park Blvd
St Augustine, FL 320865784
Phone: (904) 824-8666
Fax: (904) 824-8933
Type: Location
300, Health Park Boulevard, St. Augustine South, Saint Johns County, Florida, 32086, United States
SUITE 4000
ST AUGUSTINE, FL 320863707
Phone: (904) 824-8933
Fax: (904) 824-8666
Type: Location
300 HEALTH PARK BLVD STE 4000
ST AUGUSTINE, FL 320863704
Phone: (412) 822-7410
Fax: (412) 822-7411
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041012001229 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32086)
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