Active NPI
GSR Enterprises Inc
- Sleep Disorder Diagnostic Clinic/Center
- Lincoln, NE
National Provider Identifier
1104294404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- GSR ENTERPRISES INC
- Practice address
- 1101 S 70TH St
Lincoln, NE 68510-4293 - Phone
- (402) 486-3410
- NPI assigned
- Sep 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Luethke, MA, CPC
- Title
- Billing Manager
- Phone
- (402) 486-3410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1101 S 70TH St
Lincoln, NE 68510-4293
Mailing address
8040 O St
Lincoln, NE 68510-2561
Phone (402) 486-3410
Other practice location 1
8040 O St
Lincoln, NE 68510-2561
Phone (402) 486-3410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026585500 | Medicaid | NE | |
| NA2875 | Other | NE | MEDICARE |
Other names 1
- Somnos Sleep Disorder Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160115000978 | NE | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426351917 | Practice locations: Lincoln, NE |
National Provider Directory
National Provider Directory- Tax ID family
- GSR Enterprises Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sleep Disorder Diagnostic Clinic/Center
- Lincoln, NE
- NPI 1184676306
Locations
1101 S 70th St
Lincoln, NE 68510
Phone (402) 486-3132
8040 O St
Lincoln, NE 68510
Phone (402) 486-3410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Lincoln, NE
- NPI 1134597495
-
- Pulmonary Disease Physician
- Lincoln, NE
- NPI 1477522464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1104294404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8040 O ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102561",
"telephone_number": "402-486-3410",
"fax_number": "402-486-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104293",
"telephone_number": "402-486-3410"
}
],
"practiceLocations": [
{
"address_1": "8040 O St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685102561",
"country_code": "US",
"telephone_number": "402-486-3410",
"fax_number": "402-486-3356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GSR ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "LUETHKE",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "402-486-3410",
"authorized_official_credential": "MA, CPC"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026585500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NA2875",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Somnos Sleep Disorder Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Somnos Sleep Disorder Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.