ST CLAIR PULMONARY & CRITICAL CARE P C
NPI 1710909478
Internal Medicine - Pulmonary Disease in Port Huron, MI

Active since July 24, 2006
2615 ELECTRIC AVE, PORT HURON, MI 48060(810) 990-8222(810) 937-5592 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St Clair Pulmonary & Critical Care P C NPPES

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

ST CLAIR PULMONARY & CRITICAL CARE P C (NPI 1710909478) is a healthcare organization registered as a pulmonary disease in Port Huron, Michigan and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Port Huron and lists Podduturu Sridhar Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1710909478
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameST CLAIR PULMONARY & CRITICAL CARE P C
Location Address2615 ELECTRIC AVEPort Huron, MI 48060-6575
Mailing Address2615 Electric AvePort Huron, MI 48060-6575 · (810) 990-8222 · Fax (810) 937-5592
Fax(810) 937-5592
Organization SubpartNo
Authorized OfficialPodduturu Sridhar ReddyPresident · (810) 990-8222
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1710909478 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.
2615 ELECTRIC AVE, Port Huron, MI 48060

Secondary Practice Location 1

Location 11210 10th AvePort Huron, MI 48060-3406 · Phone (810) 984-8470 · Fax (810) 984-3919

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Clair Pulmonary & Critical Care P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to St Clair Pulmonary & Critical Care P C, 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 (2)

Internal Medicine
NPI 1003816331
2615 ELECTRIC AVENUE
Port Huron, MI 48060
(810) 990-8222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801029418
2615 ELECTRIC AVENUE
Port Huron, MI 48060
(810) 990-8222
✔ PECOS0.9 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 St Clair Pulmonary & Critical Care P C's NPI number?

The NPI number for St Clair Pulmonary & Critical Care P C is 1710909478. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is St Clair Pulmonary & Critical Care P C located?

St Clair Pulmonary & Critical Care P C is located at 2615 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 990-8222.

What is St Clair Pulmonary & Critical Care P C's specialty?

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

Is St Clair Pulmonary & Critical Care P C enrolled in Medicare?

Yes. St Clair Pulmonary & Critical Care P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Clair Pulmonary & Critical Care P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to St Clair Pulmonary & Critical Care P C, in Internal Medicine and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Clair Pulmonary & Critical Care P C accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Clair Pulmonary & Critical Care P C 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 St Clair Pulmonary & Critical Care P C was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.