PULMONARY CRITICAL CARE ASSOCIATES, PC
NPI 1780695973
Internal Medicine - Pulmonary Disease in Washington, DC

Active since August 11, 2006CLIA 09D0954086 · Waiver
1160 VARNUM ST NE, SUITE 214, WASHINGTON, DC 20017(202) 526-5491(202) 526-5434 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pulmonary Critical Care Associates, Pc NPPES

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

PULMONARY CRITICAL CARE ASSOCIATES, PC (NPI 1780695973) is a healthcare organization registered as a pulmonary disease in Washington, District Of Columbia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Octavius Douglas Polk, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1780695973
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePULMONARY CRITICAL CARE ASSOCIATES, PC
Location Address1160 VARNUM ST NE, SUITE 214Washington, DC 20017-2107
Mailing Address1160 Varnum St Ne, Suite 214Washington, DC 20017-2107 · (202) 526-5491 · Fax (202) 526-5434
Fax(202) 526-5434
Organization SubpartNo
Authorized OfficialOctavius Douglas PolkTreasurer · (202) 526-5491
Enumeration DateAugust 11, 2006
Last NPPES UpdateMarch 4, 2008
✔ NPI 1780695973 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.
1160 VARNUM ST NE, Washington, DC 20017

Other Identifiers 1

Medicare ID-Type UnspecifiedG00085

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)

Pulmonary Critical Care Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pulmonary Critical Care Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Pulmonary Disease
NPI 1205944428
1160 VARNUM ST NE #214
Washington, DC 20017
(202) 526-5491
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1568417228
1160 VARNUM STREET SUITE 214
Washington, DC 20017
(202) 526-5491
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144231374
251 NATIONAL HARBOR BLVD 5TH FLOOR
Oxon Hill, MD 20745
(301) 618-2273
✔ 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.

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 09D0954086

Pulmonary Critical Care Associates, PC · Washington, DC
Active · expires Nov 16, 2026
CLIA Number09D0954086
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDouglas Polk Jr M. Octavius
Laboratory Phone(202) 526-5491
Laboratory LocationPulmonary Critical Care Associates, PC1160 Varnum Street NE Suite 215, Washington, DC 20017
CLIA data matches this NPI record on: Address Name 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 Pulmonary Critical Care Associates, PC's NPI number?

The NPI number for Pulmonary Critical Care Associates, PC is 1780695973. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Pulmonary Critical Care Associates, PC located?

Pulmonary Critical Care Associates, PC is located at 1160 Varnum St NE Suite 214, Washington, DC 20017. The listed phone number is (202) 526-5491.

What is Pulmonary Critical Care Associates, PC's specialty?

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

Is Pulmonary Critical Care Associates, PC enrolled in Medicare?

Yes. Pulmonary Critical Care Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pulmonary Critical Care Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pulmonary Critical Care Associates, PC, in Internal Medicine 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pulmonary Critical Care Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D0954086) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pulmonary Critical Care Associates, PC was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.