Organization Active NPI

BG Tricounty Neurology& Sleep Clinic PC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Warren, MI
National Provider Identifier
1598802076
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
BG TRICOUNTY NEUROLOGY& SLEEP CLINIC PC
Practice address
31150 Hoover Rd
Suite B
Warren, MI 48093-7618
Phone
(586) 983-3666
Fax
(248) 652-7906
NPI assigned
Jan 31, 2007
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Narayan P Verma, MDNPI 1083680235
Title
President
Phone
(586) 983-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X Primary

Addresses

Primary practice location

31150 Hoover Rd
Suite B
Warren, MI 48093-7618

Mailing address

PO Box 548
Birmingham, MI 48012-0548
Phone (248) 652-7520

Other identifiers 3

IdentifierTypeStateIssuer
130E014130OtherMIBLUE CARE NETWORK
4892425MedicaidMI
130E014130OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000635 MI Part B Supplier - Clinic/Group Practice 6709806714 Receives reassigned benefits from 6 practitioners
Practice locations: Warren, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2017117BG Tricounty Neurology and Sleep Clinic Subsidiary31150 Hoover Rd Ste a, Warren, MI 48093Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

9230 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 875-9270

31150 Hoover Rd
Ste B
Warren, MI 48093
Phone (586) 983-3666

Practitioners & affiliated clinicians

Practitioners 8

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1598802076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480120548",
            "telephone_number": "248-652-7520",
            "fax_number": "248-652-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31150 HOOVER RD",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937618",
            "telephone_number": "586-983-3666",
            "fax_number": "248-652-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG TRICOUNTY NEUROLOGY& SLEEP CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "NARAYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-983-8011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "130E014130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4892425",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "130E014130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.

Verify at the official NPI Registry.