NPIMap

Organization Active NPI

Gem Health Specialty Sleep Services PA

  • Sleep Disorder Diagnostic Clinic/Center
  • White Bear Lake, MN
National Provider Identifier
1699459883
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
GEM HEALTH SPECIALTY SLEEP SERVICES PA
Practice address
2214 5TH St Ste 5
White Bear Lake, MN 55110-3039
Phone
(833) 946-4436
Fax
(833) 936-3522
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Brian James Sauer
Title
Manager of PC
Phone
(651) 216-3664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2214 5TH St Ste 5
White Bear Lake, MN 55110-3039

Mailing address

2214 5TH St Ste 5
White Bear Lake, MN 55110-3039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230811000801 MN Part B Supplier - Clinic/Group Practice 5698137354 Receives reassigned benefits from 5 practitioners
Practice locations: White Bear Lake, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Gem DME Health2 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.

Locations

2214 5th St
White Bear Lk, MN 55110

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1699459883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 5TH ST STE 5",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 5TH ST STE 5",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103039",
            "telephone_number": "833-946-4436",
            "fax_number": "833-936-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM HEALTH SPECIALTY SLEEP SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER OF PC",
        "authorized_official_telephone_number": "651-216-3664"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

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