Organization Active NPI

Repose Sleep Medicine, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1366091423
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REPOSE SLEEP MEDICINE, LLC
Practice address
6245 N 16TH St
Phoenix, AZ 85016-1706
Phone
(602) 666-1717
Fax
(602) 666-1451
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Joel Metelits, MD
Title
Owner
Phone
(602) 666-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6245 N 16TH St
Phoenix, AZ 85016-1706

Mailing address

6501 E Greenway Pkwy Ste 103-562
Scottsdale, AZ 85254-2025
Phone (602) 666-1717

Other identifiers 1

IdentifierTypeStateIssuer
AZ13427OtherAZARIZONA STATE LICENSE

National Provider Directory

National Provider Directory

Locations

6501 E Greenway Pkwy
Ste 103562
Scottsdale, AZ 85254

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1366091423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY STE 103-562",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542025",
            "telephone_number": "602-666-1717",
            "fax_number": "602-666-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850161706",
            "telephone_number": "602-666-1717",
            "fax_number": "602-666-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPOSE SLEEP MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "METELITS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-666-1177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE LICENSE",
            "identifier": "AZ13427",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.