Active NPI
Repose Sleep Medicine, LLC
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1366091423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ13427 | Other | AZ | ARIZONA STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.