Organization Active NPI

Sleep Disorders Institute Midwest LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Overland Park, KS
National Provider Identifier
1568464170
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP DISORDERS INSTITUTE MIDWEST LLC
Practice address
11881 W 112TH St
Overland Park, KS 66210
Phone
(913) 754-3275
Fax
(913) 754-3276
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Rajiv Dang
Title
Managing Director
Phone
(913) 754-3275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

11881 W 112TH St
Overland Park, KS 66210

Mailing address

11881 W 112TH St
Overland Park, KS 66210-2717
Phone (913) 754-3275

Other names 1

  • Sleep Disorders Institute Midwest Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000366 KS Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6901863570 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Overland Park, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11881 W 112th St
Overland Park, KS 66210
Phone (913) 754-3275

Practitioners & affiliated clinicians

Practitioners 2

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": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1568464170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11881 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102717",
            "telephone_number": "913-754-3275",
            "fax_number": "913-754-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11881 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-754-3275",
            "fax_number": "913-754-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDERS INSTITUTE MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "913-754-3275"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Disorders Institute Midwest",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sleep Disorders Institute Midwest",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.