Organization Active NPI

Patriots Sleepmanagement PLLC

  • Pulmonary Disease Physician
  • Clinton Township, MI
National Provider Identifier
1053914721
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PATRIOTS SLEEPMANAGEMENT PLLC
Practice address
20836 Hall Rd
Suite 232
Clinton Township, MI 48038
Phone
(586) 416-2550
Fax
(248) 237-3502
NPI assigned
Nov 17, 2020
Organization subpart
Yes
Parent organization
PATRIOTS SLEEPMANAGEMENT PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dr. Syde V Ali, MD
Title
Medical Director
Phone
(586) 416-2550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

20836 Hall Rd
Suite 232
Clinton Township, MI 48038

Mailing address

20836 Hall Rd
Suite 232
Clinton Township, MI 48038
Phone (586) 416-2550

National Provider Directory

National Provider Directory
Tax ID family
Patriots Supply Inc2 organizations share this tax ID, including this one
Part of
Patriots Supply Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1053914721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20836 HALL RD",
            "address_2": "SUITE 232",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-416-2550",
            "fax_number": "248-237-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20836 HALL RD",
            "address_2": "SUITE 232",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-416-2550",
            "fax_number": "248-237-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTS SLEEPMANAGEMENT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRIOTS SLEEPMANAGEMENT PLLC",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYDE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "586-416-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.