Organization Active NPI

Drahos Sleep LLC

  • Sleep Medicine (Family Medicine) Physician
  • Winter Garden, FL
National Provider Identifier
1700589405
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
DRAHOS SLEEP LLC
Doing business as
Premier Sleep Medicine
Practice address
187 S Boyd St
Winter Garden, FL 34787-3574
Phone
(407) 573-5733
Fax
(407) 573-5491
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Shane Drahos, MDNPI 1952780934
Title
MGR
Phone
(561) 676-1789

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

187 S Boyd St
Winter Garden, FL 34787-3574

Mailing address

PO Box 941455
Maitland, FL 32794-1455
Phone (407) 243-8782

Other names 1

  • Premier Sleep Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230607000936 FL Part B Supplier - Clinic/Group Practice 4385001395 Receives reassigned benefits from 4 practitioners
Practice locations: Winter Garden, FL

National Provider Directory

National Provider Directory

Locations

161 S Boyd St
Ste 120
Winter Garden, FL 34787

Practitioners & affiliated clinicians

Practitioners 4

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": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1700589405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941455",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327941455",
            "telephone_number": "407-243-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S BOYD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873574",
            "telephone_number": "407-573-5733",
            "fax_number": "407-573-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAHOS SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DRAHOS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-676-1789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.