KOALA CENTER FOR SLEEP DISORDERS
NPI 1013280445
Dentist in Bloomington, IL

Active since February 15, 2012
2309 E EMPIRE ST, STE. 500, BLOOMINGTON, IL 61704(309) 319-6568(309) 664-0352 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Koala Center For Sleep Disorders NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOALA CENTER FOR SLEEP DISORDERS (NPI 1013280445) is a healthcare organization registered as a dentist in Bloomington, Illinois and active in the NPI registry since February 2012. The organization lists James Todd Gray, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1013280445
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSLEEP SOLUTIONS OF CENTRAL ILLINOIS LLC
Location Address2309 E EMPIRE ST, STE. 500Bloomington, IL 61704-8636
Mailing Address2309 E Empire St, Ste. 500Bloomington, IL 61704-8636 · (309) 319-6568 · Fax (309) 664-0352
Fax(309) 664-0352
Organization SubpartNo
Authorized OfficialJames Todd GrayOwner/dentist · (309) 319-6568
Enumeration DateFebruary 15, 2012
Last NPPES UpdateApril 27, 2016
✔ NPI 1013280445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019021753
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2309 E EMPIRE ST, Bloomington, IL 61704

Other Names 1

Doing Business AsKoala Center For Sleep Disorders

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koala Center For Sleep Disorders is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Koala Center For Sleep Disorders, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1164659918
2404 E WASHINGTON ST
East Peoria, IL 61611
(309) 699-5521
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sleep Solutions Of Central Illinois LLC's NPI number?

The NPI number for Sleep Solutions Of Central Illinois LLC is 1013280445. It was assigned to this organization in the NPPES registry on February 15, 2012. The provider is doing business as Koala Center For Sleep Disorders.

Where is Sleep Solutions Of Central Illinois LLC located?

Sleep Solutions Of Central Illinois LLC is located at 2309 E Empire St Ste. 500, Bloomington, IL 61704. The listed phone number is (309) 319-6568.

What is Sleep Solutions Of Central Illinois LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sleep Solutions Of Central Illinois LLC enrolled in Medicare?

Yes. Sleep Solutions Of Central Illinois LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sleep Solutions Of Central Illinois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Sleep Solutions Of Central Illinois LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sleep Solutions Of Central Illinois LLC was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.