NPIMap

Organization Active NPI

SD Diagnostics Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
National Provider Identifier
1144909680
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SD DIAGNOSTICS INC
Practice address
3721 Executive Center Dr Ste 260
Austin, TX 78731-1645
Phone
(866) 801-9440
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Edward Tracy Sall, MD
Title
Ceo
Phone
(866) 801-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

3721 Executive Center Dr Ste 260
Austin, TX 78731-1645

Mailing address

5471 Kearny Villa Rd Ste 202
San Diego, CA 92123-1141
Phone (866) 801-9440

Other names 1

  • BetterNight Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230807002220 TX Part B Supplier - Clinic/Group Practice 3870723950 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Betternight Medical Group2 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

5471 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (619) 279-6615

4420 Hotel Circle Ct
Ste 265
San Diego, CA 92108
Phone (619) 299-6299

311 North St
Ste 200
White Plains, NY 10605

3721 Executive Center Dr
Ste 260
Austin, TX 78731
Phone 86680194402213

Practitioners & affiliated clinicians

Practitioners 7

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": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1144909680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231141",
            "telephone_number": "866-801-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 EXECUTIVE CENTER DR STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311645",
            "telephone_number": "866-801-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-801-9440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BetterNight Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.