PASADENA CENTER FOR ASTHMA & LUNG DISORDERS LLC
NPI 1396981635
Internal Medicine - Pulmonary Disease in Saint Petersburg, FL

Active since December 16, 2008CLIA 10D1105805 · Waiver
5454 CENTRAL AVE STE A, SAINT PETERSBURG, FL 33707(727) 347-5242(727) 347-2402 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pasadena Center For Asthma & Lung Disorders Llc NPPES

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

PASADENA CENTER FOR ASTHMA & LUNG DISORDERS LLC (NPI 1396981635) is a healthcare organization registered as a pulmonary disease in Saint Petersburg, Florida and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Mohamed Ibrahim Ali Eltoum, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1396981635
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePASADENA CENTER FOR ASTHMA & LUNG DISORDERS LLC
Location Address5454 CENTRAL AVE STE ASaint Petersburg, FL 33707-6129
Mailing Address5454 Central Ave Ste ASaint Petersburg, FL 33707-6129 · (727) 347-5242 · Fax (727) 347-2402
Fax(727) 347-2402
Organization SubpartNo
Authorized OfficialMohamed Ibrahim Ali EltoumOwner/md · (727) 347-5242
Enumeration DateDecember 16, 2008
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1396981635 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 · ME 100366
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.
5454 CENTRAL AVE STE A, Saint Petersburg, FL 33707

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

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)

Pasadena Center For Asthma & Lung Disorders Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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 IDO20090302000493Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Pasadena Center For Asthma & Lung Disorders LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Pulmonary Disease
NPI 1598794026
5454 CENTRAL AVE SUITE A
Saint Petersburg, FL 33707
(727) 347-5242
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497371173
12347 84TH WAY
Largo, FL 33773
(727) 631-4965
✔ PECOS8.4 mi
Internal Medicine
NPI 1669705083
1559 INDIAN ROCKS RD S
Largo, FL 33770
(727) 683-8800
✔ PECOS✔ Accepts Medicare12 mi
Anesthesiology
NPI 1104808054
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7365
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1841564275
1324 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-1321
✔ PECOS50 mi
Family Practice
NPI 1215139381
131 S CITRUS AVE
Inverness, FL 34452
(352) 344-6930
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1598442816
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 265-0535
✔ PECOS✔ Accepts Medicare131 mi
Nurse Practitioner
NPI 1073141529
5025 S ASH AVE STE A
Tempe, AZ 85282
(623) 246-5700
✔ PECOS✔ Accepts Medicare1,779 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1105805

Pasadena Center For Asthma And Lung Disorders · Saint Petersburg, FL
Active · expires Sep 28, 2027
CLIA Number10D1105805
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorMohamed I. Ali
Laboratory Phone(727) 347-5242
Laboratory LocationPasadena Center For Asthma And Lung Disorders5454 Central Ave Ste A, Saint Petersburg, FL 33707
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pasadena Center For Asthma & Lung Disorders LLC's NPI number?

The NPI number for Pasadena Center For Asthma & Lung Disorders LLC is 1396981635. It was assigned to this organization in the NPPES registry on December 16, 2008.

Where is Pasadena Center For Asthma & Lung Disorders LLC located?

Pasadena Center For Asthma & Lung Disorders LLC is located at 5454 Central Ave Ste A, Saint Petersburg, FL 33707. The listed phone number is (727) 347-5242.

What is Pasadena Center For Asthma & Lung Disorders LLC's specialty?

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

Is Pasadena Center For Asthma & Lung Disorders LLC enrolled in Medicare?

Yes. Pasadena Center For Asthma & Lung Disorders LLC is registered in the Medicare PECOS enrollment system.

When is Pasadena Center For Asthma & Lung Disorders 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 January 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 Pasadena Center For Asthma & Lung Disorders LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Pasadena Center For Asthma & Lung Disorders 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. The largest specialties are Nurse Practitioner (3), Internal Medicine (2) and Anesthesiology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pasadena Center For Asthma & Lung Disorders LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1105805) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pasadena Center For Asthma & Lung Disorders LLC accept?

Health plans from AvMed list Pasadena Center For Asthma & Lung Disorders 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 Pasadena Center For Asthma & Lung Disorders LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.