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PULMONARY CC., LLC
NPI 1265777262
Internal Medicine - Pulmonary Disease in Boynton Beach, FL

Active since December 01, 2012
10075 S JOG RD STE 202, BOYNTON BEACH, FL 33437(561) 777-5308(561) 303-2131 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Aug 18, 2026, May 5, 2022 (3 updates tracked since 2022).

About Pulmonary Cc., Llc NPPES

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

PULMONARY CC., LLC (NPI 1265777262) is a healthcare organization registered as a pulmonary disease in Boynton Beach, Florida and active in the NPI registry since December 2012. The organization lists Wambura Neema Mkono, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1265777262
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePULMONARY CC., LLC
Location Address10075 S JOG RD STE 202Boynton Beach, FL 33437-3536
Mailing Address6615 W Boynton Beach Blvd #101Boynton Beach, FL 33437-3526 · (561) 777-5308 · Fax (561) 303-2131
Phone(561) 777-5308
Fax(561) 303-2131
Organization SubpartNo
Authorized OfficialWambura Neema MkonoManaging Member · (561) 777-5308
Enumeration DateDecember 1, 2012
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1265777262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME110611
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.
10075 S JOG RD STE 202, Boynton Beach, FL 33437
Open in Google Maps ↗

Other Identifiers 1

Medicaid007946700FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pulmonary Cc., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20130128000311Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pulmonary Cc., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wambura Mkono, M.D.
Pulmonary Disease
NPI 1104002054
10075 S JOG RD STE 202
Boynton Beach, FL 33437
(561) 777-5308
✔ PECOS✔ Accepts MedicareSame address

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 Pulmonary Cc., LLC's NPI number?

The NPI number for Pulmonary Cc., LLC is 1265777262. It was assigned to this organization in the NPPES registry on December 1, 2012.

Where is Pulmonary Cc., LLC located?

Pulmonary Cc., LLC is located at 10075 S Jog Rd Ste 202, Boynton Beach, FL 33437. The listed phone number is (561) 777-5308.

What is Pulmonary Cc., LLC's specialty?

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

Is Pulmonary Cc., LLC enrolled in Medicare?

Yes. Pulmonary Cc., LLC is registered in the Medicare PECOS enrollment system.

When is Pulmonary Cc., LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pulmonary Cc., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to Pulmonary Cc., LLC. 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.

What insurance does Pulmonary Cc., LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Pulmonary Cc., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pulmonary Cc., LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.