Organization Active NPI

Sleepmed Phoenix LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Glendale, AZ
National Provider Identifier
1194926550
Registry record updated Sep 25, 2019
On this page

Key facts

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

Updated by the provider on Sep 25, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00763325OtherRAILROAD MEDICARE
7618325OtherAZAETNA
304715MedicaidAZ

Other names 1

  • SleepMed Arizona Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.