Active NPI
Sleep Center of Kentuckiana, LLC
- Physiological Laboratory
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SLEEP CENTER OF KENTUCKIANA, LLC
- Practice address
- 7926 Preston Hwy Ste 200
Louisville, KY 40219-3848 - Phone
- (502) 964-2440
- NPI assigned
- Sep 29, 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
- Kheder Kutmah, MD
- Title
- Medical Director
- Phone
- (502) 964-2440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
7926 Preston Hwy Ste 200
Louisville, KY 40219-3848
Mailing address
7926 Preston Hwy Ste 200
Louisville, KY 40219-3848
Phone (502) 964-2440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65946014 | Medicaid | KY | |
| 000000509309 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070312000165 | KY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0042313199 | Practice locations: Louisville, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0321401 | Norton Immediate Care Center - Preston | Certificate of waiver | Jan 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
2202 N Totten Cir
#A1
North Vernon, IN 47265
Phone (812) 352-8440
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Florence, KY
- NPI 1487666228
-
- Pulmonary Disease Physician
- Prospect, KY
- NPI 1801878806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1295827137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7926 PRESTON HWY STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193848",
"telephone_number": "502-964-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7926 PRESTON HWY STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402193848",
"telephone_number": "502-964-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP CENTER OF KENTUCKIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "KUTMAH",
"authorized_official_first_name": "KHEDER",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "502-964-2440",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65946014",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000509309",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.