Active NPI
University Children'S Sleep Medicine Specialists, LLC
- Pediatric Sleep Medicine Physician
- Louisville, KY
National Provider Identifier
1669508016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sleep Medicine Physician
- Legal business name
- UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC
- Practice address
- 4121 Dutchmans LN
Ste 612
Louisville, KY 40207-4707 - Phone
- (502) 588-2220
- Fax
- (502) 588-2221
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerard P Rabalais, M.D.
- Title
- President
- Phone
- (502) 852-8560
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | |||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | |||
| Pediatrics Physician | 208000000X | |||
| Pediatric Pulmonology Physician | 2080P0214X | |||
| Pediatric Sleep Medicine Physician | 2080S0012X | Primary | ||
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X |
Addresses
Primary practice location
4121 Dutchmans LN
Ste 612
Louisville, KY 40207-4707
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100026930 | Medicaid | KY | |
| 200897060 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
332 W Broadway
Ste 1100
Louisville, KY 40202
Phone (502) 852-5437
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Infectious Diseases Physician
- Louisville, KY
- NPI 1437133840
Pediatrics
-
- Sleep Medicine (Internal Medicine) Physician
- Lexington, KY
- NPI 1588673370
-
- Sleep Medicine (Family Medicine) Physician
- Louisville, KY
- NPI 1477761187
-
- Pediatric Sleep Medicine Physician
- Orland Park, IL
- NPI 1548307234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1669508016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0330",
"fax_number": "502-588-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4121 DUTCHMANS LN",
"address_2": "STE 612",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074707",
"telephone_number": "502-588-2220",
"fax_number": "502-588-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY CHILDREN'S SLEEP MEDICINE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "RABALAIS",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-852-8560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Sleep Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100026930",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200897060",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
- Universal of Work Services Inc
- University Anesthesiology Associates PSC
- University Cardiothoracic Surgical Associates PSC
- University Children'S Conscious Sedation Specialists, LLC
- University Children'S Kidney Specialists, LLC
- University Dermatopathology Consultants PSC
- University Emergency Medicine Associates P.S.C.
- University Eye Clinic and Educational Foundation, Inc
- University Family & Geriatric Medicine Associates Inc
- University Family Practice Assoc. PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.