Organization Active NPI

Respiratory Sleep Associates, PC

  • Pulmonary Disease Physician
  • Munster, IN
National Provider Identifier
1407037260
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01047404A Issued in IN
Legal business name
RESPIRATORY SLEEP ASSOCIATES, PC
Practice address
7550 Hohman Ave
Suite 600
Munster, IN 46321-1060
Phone
(219) 836-2449
Fax
(219) 836-2953
NPI assigned
Nov 21, 2007
Last updated
Aug 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Alexandria Berrettoni
Title
Billing/Credentialing Supervisor
Phone
(219) 662-3931

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01047404A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01047404A IN

Addresses

Primary practice location

7550 Hohman Ave
Suite 600
Munster, IN 46321-1060

Mailing address

PO Box 1104
Crown Point, IN 46308-1104
Phone (219) 836-2449

Other identifiers 4

IdentifierTypeStateIssuer
200893750AOtherINMEDICAID GROUP ID
0090001354OtherILBCBS IL
DH0026OtherINMEDICARE RAILROAD
000000544214OtherINBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000592 IN Part B Supplier - Clinic/Group Practice 3678655511 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

801 MacArthur Blvd
Ste 205
Munster, IN 46321
Phone (219) 836-2449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1407037260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081104",
            "telephone_number": "219-836-2449",
            "fax_number": "219-836-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 HOHMAN AVE",
            "address_2": "SUITE 600",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211060",
            "telephone_number": "219-836-2449",
            "fax_number": "219-836-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPIRATORY SLEEP ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "BERRETTONI",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "219-662-3931"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01047404A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01047404A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP ID",
            "identifier": "200893750A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "0090001354",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DH0026",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000544214",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.