Organization Active NPI

Sny Corporation Inc

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1386654895
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25540 Issued in AZ
Legal business name
SNY CORPORATION INC
Practice address
4545 E Shea Blvd
Ste 175
Phoenix, AZ 85028-3074
Phone
(480) 314-1007
Fax
(480) 314-1003
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Kumarsawamy Sivakumar, MD
Title
Owner
Phone
(480) 314-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 25540 AZ Primary

Addresses

Primary practice location

4545 E Shea Blvd
Ste 175
Phoenix, AZ 85028-3074

Mailing address

4545 E Shea Blvd
Ste 175
Phoenix, AZ 85028-3074
Phone (480) 314-1007

Other names 1

  • Neuromuscular Research Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000035 AZ Part B Supplier - Clinic/Group Practice 4082507447 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1031672Sny Corp Dba Neuromuscular Research Center4545 E Shea Blvd, Ste 175, Phoenix, AZ 85028Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

4545 E Shea Blvd
Ste 101
Phoenix, AZ 85028

240 W Thomas Rd
#2D
Phoenix, AZ 85013
Phone (602) 406-6360

240 W Thomas Rd
Fl 2
Phoenix, AZ 85013
Phone (602) 406-3520

10200 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 314-1007

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1386654895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "480-314-1007",
            "fax_number": "480-314-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E SHEA BLVD",
            "address_2": "STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283074",
            "telephone_number": "480-314-1007",
            "fax_number": "480-314-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNY CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "KUMARSAWAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-314-1026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "25540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuromuscular Research Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2014; 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.

Verify at the official NPI Registry.