Maryland Sleep Medicine LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MARYLAND SLEEP MEDICINE LLC

Practice address

15215 Shady Grove Rd Ste 301
Rockville, MD 20850-0205

Phone

(240) 912-7771

Fax

(240) 912-7829

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

David Shapouri

Title

Administrator

Phone

(443) 254-4161

Specialties & licenses 1

Addresses

Other names 1

• American Sleep Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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

• Aneesa Islam Keya, M.D

  • Neurology Physician
  • Rockville, MD
  • NPI 1558536508
  NPD
• Mark William Miller, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Olney, MD
  • NPI 1659306439
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1508097841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD STE 301",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500205",
            "telephone_number": "240-912-7771",
            "fax_number": "240-912-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD STE 301",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500205",
            "telephone_number": "240-912-7771",
            "fax_number": "240-912-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND SLEEP MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SHAPOURI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-254-4161"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Physicians Edge LLC
• Maryland Physicians Edge LLC
• Maryland Physicians Edge LLC
• Maryland Radiology Associates
• Maryland Regenerative Therapy
• Maryland Sportscare & Rehab LLC
• Maryland Surgery Center for Women
• Maryland Surgery Center for Women LLC
• Maryland Treatment Centers Inc
• Maryland Treatment Centers Inc

• Sleep Disorder Diagnostic Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Sleep Disorder Diagnostic Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.