Organization Active NPI

Mid Atlantic Sleep Consultants LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Lansdowne, VA
National Provider Identifier
1033309216
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
0101235675 Issued in VA
Legal business name
MID ATLANTIC SLEEP CONSULTANTS LLC
Practice address
19420 Golf Vista PLZ
Suite 110
Lansdowne, VA 20176-8265
Phone
(703) 729-5537
Fax
(301) 260-2838
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yash P Mehndiratta, MDNPI 1033183868
Title
Partner
Phone
(301) 570-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 0101235675 VA Primary

Addresses

Primary practice location

19420 Golf Vista PLZ
Suite 110
Lansdowne, VA 20176-8265

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

Other identifiers 3

IdentifierTypeStateIssuer
132210901MedicaidMD
G22958OtherUPIN
B713127OtherVAVA BUSINESS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1033309216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ",
            "address_2": "SUITE 110",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768265",
            "telephone_number": "703-729-5537",
            "fax_number": "301-260-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC SLEEP CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MEHNDIRATTA",
        "authorized_official_first_name": "YASH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-570-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101235675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132210901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G22958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BUSINESS LICENSE",
            "identifier": "B713127",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.