Organization Active NPI

Burlington Neurology and Sleep Clinic, PLC

  • Neurology Physician
  • West Burlington, IA
National Provider Identifier
1801922018
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BURLINGTON NEUROLOGY AND SLEEP CLINIC, PLC
Practice address
1225 S Gear Ave Ste 153
Mercy Plaza
West Burlington, IA 52655-1686
Phone
(319) 754-4400
Fax
(319) 754-4412
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Mrs. Sadhna Jani, MBA
Title
Office Manager
Phone
(319) 754-4400

Specialties & licenses 1

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

Addresses

Primary practice location

1225 S Gear Ave Ste 153
Mercy Plaza
West Burlington, IA 52655-1686

Mailing address

1225 S Gear Ave Ste 153
Mercy Plaza
West Burlington, IA 52655-1686
Phone (319) 754-4400

Other identifiers 1

IdentifierTypeStateIssuer
0435941MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000980 IA Part B Supplier - Clinic/Group Practice 8123910866 Receives reassigned benefits from 9 practitioners
Practice locations: Coralville, IA; West Burlington, IA; Ottumwa, IA; Fort Madison, IA; Fairfield, IA; Mount Pleasant, IA

National Provider Directory

National Provider Directory

Locations

2769 Heartland Dr
Coralville, IA 52241
Phone (319) 337-3193

200 S Main St
Fairfield, IA 52556
Phone (319) 338-3606

5445 Avenue O
Ste 108
Fort Madison, IA 52627

5445 Avenue O
Ste 107
Fort Madison, IA 52627

1011 Pennsylvania Ave
Ste C
Ottumwa, IA 52501

1207 N Jefferson St
Ste 1
Ottumwa, IA 52501
Phone (641) 682-5437

1225 S Gear Ave
Ste 153
West Burlington, IA 52655

505 E Grant St
Ste 202
Macomb, IL 61455
Phone (309) 833-1729

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1801922018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 153",
            "address_2": "MERCY PLAZA",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551686",
            "telephone_number": "319-754-4400",
            "fax_number": "319-754-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 153",
            "address_2": "MERCY PLAZA",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551686",
            "telephone_number": "319-754-4400",
            "fax_number": "319-754-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON NEUROLOGY AND SLEEP CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "SADHNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-754-4400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "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": "0435941",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.