NPIMap

Organization Active NPI

Sleep Medicine Services of Western Massachusetts LLC

  • Neurology Physician
  • Springfield, MA
National Provider Identifier
1750332771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC
Practice address
3640 Main St Ste 208
Springfield, MA 01107-1192
Phone
(413) 253-2767
Fax
(413) 253-9767
NPI assigned
May 15, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian Smith III, MD
Title
Owner
Phone
(413) 253-2767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3640 Main St Ste 208
Springfield, MA 01107-1192

Mailing address

3640 Main St Ste 208
Springfield, MA 01107-1192
Phone (413) 253-2767

Other practice location 1

332 Pleasant St
Northampton, MA 01060-3917
Phone (413) 253-2767

Other practice location 2

267 Locust St Ste 101
Northampton, MA 01062-2770
Phone (413) 253-2767

Other identifiers 4

IdentifierTypeStateIssuer
9752901MedicaidMA
M19058OtherMABCBS MA
5510880001OtherMAHEALTH NOW
623943OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000588 MA Part B Supplier - Clinic/Group Practice 5092737098 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
Practice locations: Northampton, MA; Springfield, MA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750332771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 208",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071192",
            "telephone_number": "413-253-2767",
            "fax_number": "413-253-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 208",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071192",
            "telephone_number": "413-253-2767",
            "fax_number": "413-253-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603917",
            "country_code": "US",
            "telephone_number": "413-253-2767",
            "fax_number": "413-253-9767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "267 Locust St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010622770",
            "country_code": "US",
            "telephone_number": "413-253-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-253-2767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M19058",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "5510880001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "623943",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.