SUBURBAN PULMONARY MEDICINE, P. C.
NPI 1407876295
Internal Medicine - Pulmonary Disease in Ridley Park, PA

Q: What is Suburban Pulmonary Medicine, P. C.'s NPI number?

The NPI number for Suburban Pulmonary Medicine, P. C. is 1407876295. It was assigned to this organization in the NPPES registry on July 21, 2006.

Q: What is Suburban Pulmonary Medicine, P. C.'s specialty?

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

Active since July 21, 2006

1 BARTOL AVE, SUITE 14, RIDLEY PARK, PA 19078(610) 521-1300(610) 521-9074 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Suburban Pulmonary Medicine, P. C. NPPES

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

SUBURBAN PULMONARY MEDICINE, P. C. (NPI 1407876295) is a healthcare organization registered as a pulmonary disease in Ridley Park, Pennsylvania and active in the NPI registry since July 2006. The organization lists Shannon Jean Pettit, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407876295

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameSUBURBAN PULMONARY MEDICINE, P. C.

Location Address1 BARTOL AVE, SUITE 14Ridley Park, PA 19078-2214

Mailing Address1 Bartol Ave, Suite 14Ridley Park, PA 19078-2214 · (610) 521-1300 · Fax (610) 521-9074

Phone(610) 521-1300

Fax(610) 521-9074

Organization SubpartNo

Authorized OfficialShannon Jean PettitOffice Manager · (610) 521-1300

Enumeration DateJuly 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407876295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

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.

1 BARTOL AVE, Ridley Park, PA 19078

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suburban Pulmonary Medicine, P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Suburban Pulmonary Medicine, P. C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Gerald Meis, D.O

Pulmonary Disease

NPI 1801859947

2000 SPROUL RD STE 100
Broomall, PA 19008

(484) 337-5314

✔ PECOS✔ Accepts Medicare6.3 mi

Kevin Hammel

Nurse Practitioner

NPI 1356809230

404 N 65TH ST
Philadelphia, PA 19151

(215) 300-5992

✔ PECOS✔ Accepts Medicare7.4 mi

Mohammad Sayeed, MD

Pulmonary Disease

NPI 1700888500

16TH STREET AND GIRARD AVENUE
Phila, PA 19130

(215) 787-9000

✔ PECOS✔ Accepts Medicare11 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 Suburban Pulmonary Medicine, P. C.'s NPI number?

The NPI number for Suburban Pulmonary Medicine, P. C. is 1407876295. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Suburban Pulmonary Medicine, P. C. located?

Suburban Pulmonary Medicine, P. C. is located at 1 Bartol Ave Suite 14, Ridley Park, PA 19078. The listed phone number is (610) 521-1300.

What is Suburban Pulmonary Medicine, P. C.'s specialty?

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

Is Suburban Pulmonary Medicine, P. C. enrolled in Medicare?

Yes. Suburban Pulmonary Medicine, P. C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Suburban Pulmonary Medicine, P. C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Suburban Pulmonary Medicine, P. C., in Nurse Practitioner and Pulmonary Disease. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Suburban Pulmonary Medicine, P. C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.