Organization Active NPI

Sleep Medicine and Neurology, PLLC

  • Neurology Physician
  • Cheboygan, MI
National Provider Identifier
1992015622
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101016443 Issued in MI
Legal business name
SLEEP MEDICINE AND NEUROLOGY, PLLC
Practice address
217 S Huron St
Cheboygan, MI 49721-1919
Phone
(231) 627-7327
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Veronica Kemerko Sesi, D.O.NPI 1801007620
Title
Operator
Phone
(248) 755-4913

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 5101016443 MI Primary

Addresses

Primary practice location

217 S Huron St
Cheboygan, MI 49721-1919

Mailing address

2545 Cedar Brook Court
Rochester Hills, MI 48309
Phone (248) 755-4913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000315 MI Part B Supplier - Clinic/Group Practice 3072799444 Receives reassigned benefits from 1 practitioner
Practice locations: Lapeer, MI; Roseville, MI; Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

217 S Huron St
Cheboygan, MI 49721
Phone (231) 445-1691

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": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1992015622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CEDAR BROOK COURT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-755-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S HURON ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211919",
            "telephone_number": "231-627-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE AND NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "SESI",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "KEMERKO",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "248-755-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101016443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.