Sajjan K Nemani MD SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036078556 Issued in IL

Legal business name

SAJJAN K NEMANI MD SC

Doing business as

Advance Sleep & Neurodiagnostic Services

Practice address

1054 M L King Dr Ste 124
Centralia, IL 62801-3065

Phone

(618) 533-8700

Fax

(618) 533-8701

NPI assigned

May 10, 2007

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Rene Minor

Title

Office Manager

Phone

(618) 533-8700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Advance Sleep & Neurodiagnostic Services Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Sleep & Neurology Center of Southern Illinois, LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Mount Vernon, IL
  • NPI 1053437038

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Allie

  • Occupational Therapist
  • Effingham, IL
  • NPI 1851847313
  NPD (past)
• Jill Higgs, OTD

  • Hand Occupational Therapist
  • Effingham, IL
  • NPI 1689169971
  NPD (past)
• Lonni R Weis, OTR/L

  • Hand Occupational Therapist
  • Effingham, IL
  • NPI 1134139488
  NPD (past)
• Spring A Huffman, NP

  • Family Nurse Practitioner
  • Fargo, ND
  • NPI 1700836673
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1740494590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 M L KING DR STE 124",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013065",
            "telephone_number": "618-533-8700",
            "fax_number": "618-533-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 M L KING DR STE 124",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013065",
            "telephone_number": "618-533-8700",
            "fax_number": "618-533-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJJAN K NEMANI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-533-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036078556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "06123524",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "051812",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "111163",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078556",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Sleep & Neurodiagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Sleep & Neurodiagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Douaedf Rueter, CRNA
• Julie Ann Rueter, M.S.W., L.S.W.
• David Rugowski, LCPC
• Lisa Marie Russow
• Usha Kiran Sadanala, MD
• Kimberly Salmon, COTA/L
• Samuel M Smith DMD PHD PC
• Laura Sanders
• Venerio Melendres Santos, MD
• Travis Sarasky

• Neurology Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.