LUNG CLINIC PLLC
NPI 1073987533
Internal Medicine - Pulmonary Disease in New Braunfels, TX

Active since November 20, 2015
555 CREEKSIDE XING, NEW BRAUNFELS, TX 78130(210) 774-5443(336) 350-8495 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2018, Aug 9, 2018, Nov 20, 2015 (3 updates tracked since 2015).

About Lung Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUNG CLINIC PLLC (NPI 1073987533) is a healthcare organization registered as a pulmonary disease in New Braunfels, Texas and active in the NPI registry since November 2015. The organization maintains a secondary practice location in New Braunfels and lists Abhishek Vedavalli, President, as its authorized official.

NPPES Registry Identity

NPI1073987533
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameLUNG CLINIC PLLC
Location Address555 CREEKSIDE XINGNew Braunfels, TX 78130
Mailing AddressPo Box 733537Dallas, TX 75373-3537 · (210) 774-5443 · Fax (336) 350-8495
Fax(336) 350-8495
Organization SubpartNo
Authorized OfficialAbhishek VedavalliPresident · (512) 718-7494
Enumeration DateNovember 20, 2015
Last NPPES UpdateDecember 4, 20183 updates tracked since enumeration
✔ NPI 1073987533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · P6293
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License P6293 (TX)
555 CREEKSIDE XING, New Braunfels, TX 78130

Secondary Practice Location 1

Location 1600 N Union AveNew Braunfels, TX 78130-4194 · Phone (210) 774-5443

Other Identifiers 1

Medicaid3642415-01TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lung Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lung Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1942536164
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
(317) 962-5820
✔ PECOS✔ Accepts Medicare967 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lung Clinic PLLC's NPI number?

The NPI number for Lung Clinic PLLC is 1073987533. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is Lung Clinic PLLC located?

Lung Clinic PLLC is located at 555 Creekside Xing, New Braunfels, TX 78130. The listed phone number is (210) 774-5443.

What is Lung Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Lung Clinic PLLC enrolled in Medicare?

Yes. Lung Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lung Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lung Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lung Clinic PLLC was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.