Neurosleep Medical Consulting Services PLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

0101253013 Issued in VA

Legal business name

NEUROSLEEP MEDICAL CONSULTING SERVICES PLC

Practice address

8300 Boone Blvd
Suite 130
Vienna, VA 22182-2626

Phone

(703) 448-7745

Fax

(989) 714-1034

NPI assigned

Jan 3, 2013

Organization subpart

No

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

Authorized official

Name

Pranathi Kondapaneni, MD

Title

Owner

Phone

(703) 448-7745

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1699012161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD",
            "address_2": "SUITE 130",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822626",
            "telephone_number": "703-448-7745",
            "fax_number": "989-714-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD",
            "address_2": "SUITE 130",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822626",
            "telephone_number": "703-448-7745",
            "fax_number": "989-714-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSLEEP MEDICAL CONSULTING SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "KONDAPANENI",
        "authorized_official_first_name": "PRANATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-448-7745",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "VA",
            "license": "0101253013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Psychiatry & Neurology) Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.