Organization Active NPI

Michigan Sleep Institute PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Coldwater, MI
National Provider Identifier
1609107432
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
079293 Issued in MI
Legal business name
MICHIGAN SLEEP INSTITUTE PLLC
Practice address
605 W Chicago Rd Ste 208
Coldwater, MI 49036-8400
Phone
(517) 924-1444
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Tariq Abdelkarim, MDNPI 1225125792
Title
Owner
Phone
(517) 924-1444

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 (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 079293 MI Primary

Addresses

Primary practice location

605 W Chicago Rd Ste 208
Coldwater, MI 49036-8400

Mailing address

100 E Chicago St
Jonesville, MI 49250-1197
Phone (517) 849-9090

Other practice location 1

3271 W Carleton Rd
Hillsdale, MI 49242-9458
Phone (517) 437-3879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100430000101 MI Part B Supplier - Clinic/Group Practice 8325175995 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsdale, MI

National Provider Directory

National Provider Directory

Locations

2845 Capital Ave SW
Ste 208
Battle Creek, MI 49015
Phone (269) 832-8911

605 W Chicago Rd
Ste 208
Coldwater, MI 49036
Phone (517) 924-1444

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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1609107432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CHICAGO ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501197",
            "telephone_number": "517-849-9090",
            "fax_number": "517-797-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CHICAGO RD STE 208",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368400",
            "telephone_number": "517-924-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 W Carleton Rd",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492429458",
            "country_code": "US",
            "telephone_number": "517-437-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN SLEEP INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ABDELKARIM",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-924-1444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "079293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.