Organization Active NPI

Sound Sleep LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Haymarket, VA
National Provider Identifier
1639776347
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SOUND SLEEP LLC
Practice address
6626 Muir Dr
Haymarket, VA 20169-2742
Phone
(301) 873-8379
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Sharmili MathurNPI 1851541288
Title
Owner
Phone
(301) 873-8379

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: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

6626 Muir Dr
Haymarket, VA 20169-2742

Mailing address

6626 Muir Dr
Haymarket, VA 20169-2742

Other identifiers 1

IdentifierTypeStateIssuer
0102202672OtherVALICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117002714 VA Part B Supplier - Clinic/Group Practice 3971914284 Receives reassigned benefits from 3 practitioners
Practice locations: Warrenton, VA; Culpeper, VA; Haymarket, VA

National Provider Directory

National Provider Directory

Locations

420 Southridge Pkwy
Ste 104
Culpeper, VA 22701
Phone (540) 340-6222

147 Alexandria Pike
Ste 103
Warrenton, VA 20186
Phone (540) 699-0608

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1639776347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 MUIR DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 MUIR DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692742",
            "telephone_number": "301-873-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "SHARMILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-873-8379"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0102202672",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.