Active NPI
Sny Corporation Inc
- Neurology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25540
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 03D1031672 | Sny Corp Dba Neuromuscular Research Center | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Phoenix, AZ
- NPI 1821035254
AZ, Neurology
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.