Active NPI
Sleepmed Phoenix LLC
- Sleep Disorder Diagnostic Clinic/Center
- Glendale, AZ
National Provider Identifier
1194926550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEPMED PHOENIX LLC
- Doing business as
- SleepMed Arizona
- Practice address
- 5757 W Thunderbird Rd
Suite W111
Glendale, AZ 85306 - Phone
- (602) 993-3732
- NPI assigned
- May 31, 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
- Angela Nauful
- Title
- VP Compliance & Contracting
- Phone
- (770) 309-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
5757 W Thunderbird Rd
Suite W111
Glendale, AZ 85306
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00763325 | Other | RAILROAD MEDICARE | |
| 7618325 | Other | AZ | AETNA |
| 304715 | Medicaid | AZ |
Other names 1
- SleepMed Arizona
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5757 W Thunderbird Rd
Ste W111
Glendale, AZ 85306
Phone (602) 595-3555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569369600000",
"number": "1194926550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ROSEWOOD DR STE 245",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234537",
"telephone_number": "978-536-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W THUNDERBIRD RD",
"address_2": "SUITE W111",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85306",
"telephone_number": "602-993-3732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPMED PHOENIX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2019-09-25",
"status": "A",
"authorized_official_last_name": "NAUFUL",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "VP COMPLIANCE & CONTRACTING",
"authorized_official_telephone_number": "770-309-2000"
},
"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": "RAILROAD MEDICARE",
"identifier": "P00763325",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304715",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SleepMed Arizona",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SleepMed Arizona",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.