Active NPI
Sleepmed Hampton Roads LLC
- Sleep Disorder Diagnostic Clinic/Center
- Suffolk, VA
National Provider Identifier
1184820151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEPMED HAMPTON ROADS LLC
- Practice address
- 154 Burnetts Way
Suite 101-a
Suffolk, VA 23434-8366 - Phone
- (978) 536-7400
- NPI assigned
- Jun 26, 2007
- 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
- Carl R Iberger
- Title
- Evp-Cfo
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
154 Burnetts Way
Suite 101-a
Suffolk, VA 23434-8366
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2165795 | Other | VA | MDIPA |
| 344053 | Other | VA | ANTHEM BCBS |
| 2165795 | Other | VA | ONENET PPO |
| 419630 | Other | MD | CARE FIRST |
| 85TZDI | Other | MD | CARE FIRST |
| 2165795 | Other | VA | OPTIMUM CHOICE |
| 520537 | Other | MD | CARE FIRST |
| 552495 | Other | VA | SOUTHERN HEALTH |
| 8597001 | Other | VA | CARE FIRST |
| P00600120 | Other | VA | RAILROAD MEDICARE |
| 8597002 | Other | VA | CARE FIRST |
| 2165795 | Other | VA | MAMSI |
Other names 1
- SleepMed of Hampton Roads
National Provider Directory
National Provider DirectoryLocations
2713 Neil Armstrong Pkwy
Ste G1
Hampton, VA 23666
Phone (757) 224-4200
2115 Executive Dr
#10B
Hampton, VA 23666
Phone (757) 262-0399
154 Burnetts Way
Ste 101A
Suffolk, VA 23434
Phone (757) 539-1573
4480 Holland Office Park
Ste 225B
Virginia Beach, VA 23452
Phone (757) 456-0984
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Portsmouth, VA
- NPI 1982654042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403827200000",
"number": "1184820151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BURNETTS WAY",
"address_2": "SUITE 101-A",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348366",
"telephone_number": "978-536-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPMED HAMPTON ROADS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2014-06-27",
"status": "A",
"authorized_official_last_name": "IBERGER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EVP-CFO",
"authorized_official_telephone_number": "978-536-7400"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "2165795",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "344053",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONENET PPO",
"identifier": "2165795",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "419630",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "85TZDI",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "2165795",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "520537",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "552495",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "8597001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00600120",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "8597002",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2165795",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SleepMed of Hampton Roads",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.