Organization Active NPI

Middletown Cardiovascular Associates, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Middletown, OH
National Provider Identifier
1992822563
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
MIDDLETOWN CARDIOVASCULAR ASSOCIATES, INC.
Practice address
235 N Breiel Blvd
Middletown, OH 45042-3807
Phone
(513) 783-4222
Fax
(513) 783-4477
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Sandeep Gupta
Title
Owner
Phone
(513) 783-4222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

235 N Breiel Blvd
Middletown, OH 45042-3807

Mailing address

235 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 783-4222

Other practice location 1

7760 VOA Park Dr
Suite G
West Chester, OH 45069-5069
Phone (513) 442-2432

Other identifiers 3

IdentifierTypeStateIssuer
2734885MedicaidOH
DF8005OtherOHRAILROAD MEDICARE
613397200OtherOHDEPT OF LABOR-ENERGY DIVISION ACS

Other names 2

  • ProMed Equipment Doing business as
  • Sleep Clinic Of Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

5275 State Route 122
Ste 200
Franklin, OH 45005

253 N Breiel Blvd
Middletown, OH 45042
Phone (513) 433-1117

200 N Breiel Blvd
Ste B
Middletown, OH 45042

7760 W Voice of America Park Dr
Ste G
West Chester, OH 45069
Phone (513) 442-2432

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1992822563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-783-4222",
            "fax_number": "513-217-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-783-4222",
            "fax_number": "513-783-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7760 VOA Park Dr",
            "address_2": "Suite G",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450695069",
            "country_code": "US",
            "telephone_number": "513-442-2432",
            "fax_number": "513-442-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLETOWN CARDIOVASCULAR ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-783-4222"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734885",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR-ENERGY DIVISION ACS",
            "identifier": "613397200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMed Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Clinic Of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.