Organization Active NPI

Haven Health Sleep Medicine, PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Woodhaven, MI
National Provider Identifier
1134949316
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
HAVEN HEALTH SLEEP MEDICINE, PLLC
Practice address
18600 Van Horn Rd Ste a
Woodhaven, MI 48183-3853
Phone
(734) 766-4446
Fax
(734) 982-3003
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Saim Choudhry, DONPI 1912560525
Title
Owner
Phone
(734) 558-7075

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 Primary

Addresses

Primary practice location

18600 Van Horn Rd Ste a
Woodhaven, MI 48183-3853

Mailing address

18600 Van Horn Rd Ste a
Woodhaven, MI 48183-3853
Phone (734) 766-4446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121001134 MI Part B Supplier - Clinic/Group Practice 3779018221 Receives reassigned benefits from 1 practitioner
Practice locations: Woodhaven, MI

National Provider Directory

National Provider Directory

Locations

18600 Van Horn Rd
Ste A
Woodhaven, MI 48183
Phone (734) 671-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1134949316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD STE A",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833853",
            "telephone_number": "734-766-4446",
            "fax_number": "734-982-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD STE A",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833853",
            "telephone_number": "734-766-4446",
            "fax_number": "734-982-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH SLEEP MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "CHOUDHRY",
        "authorized_official_first_name": "SAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-558-7075",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.