PULMONARY REHABILITATION ASSOCIATES – Pulmonary Disease Physician, NPI 1720205065

PULMONARY REHABILITATION ASSOCIATES is a healthcare provider. based in Youngstown, Ohio. specializing in Pulmonary Disease Physician. The NPI Number for PULMONARY REHABILITATION ASSOCIATES is 1720205065

Main info

Organization
Name
PULMONARY REHABILITATION ASSOCIATES
NPI
1720205065
Phone
(330) 758-7575
Address
925 TRAILWOOD DR
Authorized Official
MARIJO D SHUNTICH CHIEF OPERATING OFFICER
Enumeration Date
19 April 2007
Last Update Date
24 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for PULMONARY REHABILITATION ASSOCIATES

  • 925 TRAILWOOD DR

    YOUNGSTOWN, OH 445125008

    Phone: (330) 758-7575

    Fax: (330) 758-1833

    Mailing address matches the actual address.

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: 2004-06-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040630000885OClinic/Group PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 44512)

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Reviews

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Frequently asked questions

What NPI should I save for PULMONARY REHABILITATION ASSOCIATES?
Save NPI 1720205065 if you need a stable reference for PULMONARY REHABILITATION ASSOCIATES.
Is PULMONARY REHABILITATION ASSOCIATES's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is PULMONARY REHABILITATION ASSOCIATES?
The page reflects Pulmonary Disease Physician for PULMONARY REHABILITATION ASSOCIATES. Clinical services aligned with this taxonomy classification.
What location metadata exists for PULMONARY REHABILITATION ASSOCIATES?
The page summarizes Youngstown, Ohio for PULMONARY REHABILITATION ASSOCIATES; expand the address list for detail.
What if Youngstown, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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