MD Sleep Med LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MD SLEEP MED LLC

Practice address

660 Kenilworth Drive
203
Baltimore, MD 21204-2354

Phone

(410) 296-5544

Fax

(410) 296-9606

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

David Shapouri

Title

Administrator

Phone

(443) 254-4161

Specialties & licenses 1

Addresses

Other names 1

• AMERICAN SLEEP MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aneesa Islam Keya, M.D

  • Neurology Physician
  • Rockville, MD
  • NPI 1558536508
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1669481602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DR STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042354",
            "telephone_number": "410-296-5544",
            "fax_number": "410-296-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DRIVE",
            "address_2": "203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042354",
            "telephone_number": "410-296-5544",
            "fax_number": "410-296-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SLEEP MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SHAPOURI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-254-4161"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN SLEEP MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sleep Disorder Diagnostic Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Sleep Disorder Diagnostic Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.