Organization Active NPI

GSR Enterprises Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Lincoln, NE
National Provider Identifier
1104294404
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Feb 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10026585500MedicaidNE
NA2875OtherNEMEDICARE

Other names 1

  • Somnos Sleep Disorder Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.