Active NPI
Sleep Center of Northwest Indiana, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Crown Point, IN
National Provider Identifier
1275622771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEP CENTER OF NORTHWEST INDIANA, LLC
- Practice address
- 9150 E 109TH Ave Ste 1a
Crown Point, IN 46307-7686 - Phone
- (219) 756-8000
- Fax
- (219) 756-3699
- NPI assigned
- Oct 12, 2006
- 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
- Mr. Robert J Newell
- Title
- Office Manager
- Phone
- (219) 803-7380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
9150 E 109TH Ave Ste 1a
Crown Point, IN 46307-7686
Mailing address
9150 E 109TH Ave Ste 1a
Crown Point, IN 46307-7686
Phone (219) 756-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200800440A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051118000473 | IN | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5294754271 | Practice locations: Merrillville, IN |
National Provider Directory
National Provider DirectoryLocations
6375 US Highway 6
Ste D
Portage, IN 46368
Phone (219) 734-6272
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Merrillville, IN
- NPI 1013060458
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Merrillville, IN
- NPI 1447757406
-
- Otolaryngology Physician
- Merrillville, IN
- NPI 1952474587
-
- Cardiovascular Disease Physician
- Merrillville, IN
- NPI 1386630325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1275622771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 E 109TH AVE STE 1A",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077686",
"telephone_number": "219-756-8000",
"fax_number": "219-756-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 E 109TH AVE STE 1A",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077686",
"telephone_number": "219-756-8000",
"fax_number": "219-756-3699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP CENTER OF NORTHWEST INDIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "NEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "219-803-7380",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200800440A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.