Blackstone Medical Services LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BLACKSTONE MEDICAL SERVICES LLC

Practice address

4000 Blackburn LN Ste 210
Burtonsville, MD 20866-6128

Phone

(240) 390-3136

Fax

(813) 682-3989

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Lindsey Shinholser

Title

Office Manager

Phone

(813) 831-2727

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Blackstone Medical Services LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Tampa, FL
  • NPI 1699074716

  2961658554

  Same PAC ID

Tax ID family

Blackstone Medical Services2 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.

• Blackstone Medical Services LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Tampa, FL
  • NPI 1699074716
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Abril, M.D.

  • Pulmonary Disease Physician
  • Chevy Chase, MD
  • NPI 1144421934
  NPD
• Omavi Bailey, MD MPH

  • Sleep Medicine (Family Medicine) Physician
  • Fayetteville, NC
  • NPI 1982010203
  NPD
• Chandra Matadeen-Ali, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Glen Mills, PA
  • NPI 1811197619
  NPD
• James William Roy, M.D., PH.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Huntsville, AL
  • NPI 1902833213
  NPD
• David C Brodner, MD

  • Specialist
  • Boynton Beach, FL
  • NPI 1144284902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1265043897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 HENDERSON BLVD STE 145",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294940",
            "telephone_number": "813-831-2727",
            "fax_number": "813-682-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 210",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666128",
            "telephone_number": "240-390-3136",
            "fax_number": "813-682-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "SHINHOLSER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-831-2727"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "bstone.azurewebsite.net",
            "affiliation": "Y",
            "endpointDescription": "Azure Web Application",
            "affiliationName": "BLACKSTONE MEDICAL SERVICES LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "550 N Reo St Ste 250",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336091039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Raymond Beers, D.D.S.
• Azeb Zenebe Berkeneh, CERTIFICATE
• Bethel Residential Care Home LLC
• Ralp Lagat Betonio, PT
• Nyambi Stella Bih, HHA
• Karen Bleakley, RPH, PHARMD
• Block Chiropractic and Rehabilitation Center, LLC
• Debra M Block, D.C.
• Bma Healthcare Services, Inc.
• Bma Healthcare Services, Inc.

• All providers in Burtonsville, MD
• Sleep Disorder Diagnostic Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.