Organization Active NPI

Sleep Medical Associates, PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1740563659
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
259009 Issued in NY
Legal business name
SLEEP MEDICAL ASSOCIATES, PLLC
Practice address
2632 E 21St St
Brooklyn, NY 11235-2907
Phone
(718) 946-5501
Fax
(718) 795-9408
NPI assigned
Sep 27, 2011
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Dr. Prabhakara Rao Tumpati, M.D.NPI 1487844148
Title
President
Phone
(718) 946-5501

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) Physician 207RS0012X 259009 NY Primary

Addresses

Primary practice location

2632 E 21St St
Brooklyn, NY 11235-2907

Mailing address

2632 E 21St St
Brooklyn, NY 11235-2907
Phone (718) 946-5501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000408 NY Part B Supplier - Clinic/Group Practice 1456524396 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1740563659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352907",
            "telephone_number": "718-946-5501",
            "fax_number": "718-795-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E 21ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352907",
            "telephone_number": "718-946-5501",
            "fax_number": "718-795-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "TUMPATI",
        "authorized_official_first_name": "PRABHAKARA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-946-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "259009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.