Organization Active NPI

SKV Sleep Systems LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1710126602
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
L8988 Issued in TX
Legal business name
SKV SLEEP SYSTEMS LLC
Practice address
10601 Pecan Park Blvd Ste 203
Austin, TX 78750-1325
Phone
(512) 810-0360
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Dr. Vani Shree Vallabhaneni, MDNPI 1447273644
Title
Medical Director/Owner
Phone
(512) 810-0360

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 (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X L8988 TX Primary

Addresses

Primary practice location

10601 Pecan Park Blvd Ste 203
Austin, TX 78750-1325

Mailing address

10601 Pecan Park Blvd Ste 203
Austin, TX 78750-1325
Phone (512) 810-0360

Other practice location 1

11851 Jollyville Rd
Suite # 104
Austin, TX 78759-2338
Phone (512) 810-0360

Other names 1

  • SLEEP 360 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000318 TX Part B Supplier - Clinic/Group Practice 8123166600 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; Forthood Killeen, TX

National Provider Directory

National Provider Directory

Locations

10601 Pecan Park Blvd
Ste 203
Austin, TX 78750
Phone (254) 697-6591

2700 S Fort Hood St
Ste G
Killeen, TX 76542
Phone (512) 810-0360

Practitioners & affiliated clinicians

Practitioners 1

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": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1710126602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 PECAN PARK BLVD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501325",
            "telephone_number": "512-810-0360",
            "fax_number": "512-918-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PECAN PARK BLVD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501325",
            "telephone_number": "512-810-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11851 Jollyville Rd",
            "address_2": "Suite # 104",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787592338",
            "country_code": "US",
            "telephone_number": "512-810-0360",
            "fax_number": "512-918-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKV SLEEP SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "VALLABHANENI",
        "authorized_official_first_name": "VANI",
        "authorized_official_middle_name": "SHREE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "512-810-0360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L8988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLEEP 360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SLEEP 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.