NPIMap

Organization Active NPI

Sleep Institute of the Upstate LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Greer, SC
National Provider Identifier
1669015632
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SLEEP INSTITUTE OF THE UPSTATE LLC
Practice address
103B Regency Commons Dr
Greer, SC 29650-5210
Phone
(864) 334-7090
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Navina Mehta, MDNPI 1558650556
Title
Owner
Phone
(731) 695-1754

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

103B Regency Commons Dr
Greer, SC 29650-5210

Mailing address

103B Regency Commons Dr
Greer, SC 29650-5210
Phone (864) 334-7090

Other names 1

  • Greenville Sleep Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204001856 SC Part B Supplier - Clinic/Group Practice 1759714801 Receives reassigned benefits from 1 practitioner
Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1669015632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-334-7090",
            "fax_number": "864-627-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103B REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-334-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP INSTITUTE OF THE UPSTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NAVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-695-1754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Sleep Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

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