Organization Active NPI

Night Hawk Sleep Systems, Inc.

  • Sleep Specialist (PhD)
  • Clinton Township, MI
National Provider Identifier
1689992208
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
NIGHT HAWK SLEEP SYSTEMS, INC.
Practice address
15760 19 Mile Rd
Suite F
Clinton Township, MI 48038-6319
Phone
(586) 416-2550
Fax
(586) 416-2580
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Karen Katopodes
Title
Office Manager
Phone
(586) 416-2550

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193200000X MULTI-SPECIALTY GROUP 173F00000X MI Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X MI
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X MI
Physiological Laboratory 293D00000X MI

Addresses

Primary practice location

15760 19 Mile Rd
Suite F
Clinton Township, MI 48038-6319

Mailing address

15760 19 Mile Rd
Suite F
Clinton Township, MI 48038-6319
Phone (586) 416-2550

Other identifiers 15

IdentifierTypeStateIssuer
35-025106-1-1OtherMIBCBS
4301046328OtherMISTATE LICENSE
4301078992OtherMISTATE LICENSE
1508819350OtherMIASADULLA MOHAMMED NPI
4153026MedicaidMI
4301072444OtherMIASADULLA MOHAMMED LICENSE NUMBER
4505648MedicaidMI
4559845MedicaidMI
4872342MedicaidMI
1497752166OtherPANPI
1891765426OtherMIZUREIKAT NPI
1588664775OtherMIALI NPI
0F37385OtherMIASADULLA MOHAMMED BCBS PIN
1649270950OtherMISHAH NPI
1107410151OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001150 MI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0244428902 Practice locations: Ira TWP, MI

National Provider Directory

National Provider Directory
Tax ID family
Night Hawk Sleep Systems Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1689992208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "SUITE F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-416-2550",
            "fax_number": "586-416-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15760 19 MILE RD",
            "address_2": "SUITE F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386319",
            "telephone_number": "586-416-2550",
            "fax_number": "586-416-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHT HAWK SLEEP SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "KATOPODES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-416-2550"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35-025106-1-1",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301046328",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301078992",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASADULLA MOHAMMED NPI",
            "identifier": "1508819350",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASADULLA MOHAMMED LICENSE NUMBER",
            "identifier": "4301072444",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4505648",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4559845",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4872342",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497752166",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZUREIKAT NPI",
            "identifier": "1891765426",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALI NPI",
            "identifier": "1588664775",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASADULLA MOHAMMED BCBS PIN",
            "identifier": "0F37385",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHAH NPI",
            "identifier": "1649270950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1107410151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.