NPIMap

Organization Active NPI

Meliorem Sleep Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Sparks, NV
National Provider Identifier
1619417136
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MELIOREM SLEEP SERVICES
Practice address
4828 Sparks Blvd
Sparks, NV 89436-8120
Phone
(775) 557-4900
Fax
(775) 557-7240
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Dr. Innocent C Ezenwa, MDNPI 1699891192
Title
Owner/Physician
Phone
(755) 557-4900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 16000 NV
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

4828 Sparks Blvd
Sparks, NV 89436-8120

Mailing address

4828 Sparks Blvd
Sparks, NV 89436-8120
Phone (775) 557-4900

Other names 1

  • MelioREM Sleep Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419000239 NV Part B Supplier - Clinic/Group Practice 0143506576 Receives reassigned benefits from 4 practitioners
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

2115 Green Vista Dr
Ste 101
Sparks, NV 89431
Phone (775) 359-2111

875 Roberta Ln
Ste 103B
Sparks, NV 89431
Phone (775) 557-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20290/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1619417136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368120",
            "telephone_number": "775-557-4900",
            "fax_number": "775-557-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 SPARKS BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368120",
            "telephone_number": "775-557-4900",
            "fax_number": "775-557-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELIOREM SLEEP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "EZENWA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "755-557-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NV",
            "license": "16000",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MelioREM Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.