Active NPI
Sleep Disorders Institute Midwest LLC
- Sleep Disorder Diagnostic Clinic/Center
- Overland Park, KS
National Provider Identifier
1568464170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Overland Park, KS
- NPI 1578569414
O20041215000366
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Palm Desert, CA
- NPI 1447209218
-
- Family Medicine Physician
- Pontiac, MI
- NPI 1528440609
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.