NPIMap

Organization Active NPI

Airway Oxygen Inc

  • Oxygen Equipment & Supplies (DME)
  • Grand Rapids, MI
National Provider Identifier
1013357151
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
AIRWAY OXYGEN INC
Practice address
5150 Plainfield Ave NE
Grand Rapids, MI 49525-1049
Phone
(616) 364-4044
Fax
(616) 364-4047
NPI assigned
Jul 3, 2013
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Wendy Russalesi
Title
Cco
Phone
(484) 246-9499

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Airway Oxygen Inc5150 Plainfield Ave NE, Grand Rapids, MI 49525-1049(616) 364-4044 Commodes, Urinals, Bedpans|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutch… Does not accept assignmentParticipating since Jan 1, 1998

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20131030001371 MI DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7517085749 Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory
Tax ID family
Airway Oxygen Inc (17 organizations share this tax ID)
Part of
Aerocare Holdings Inc

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5150 Plainfield Ave NE
Grand Rapids, MI 49525-1049

Mailing address

555 E North LN Ste 5075
Conshohocken, PA 19428-2490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2025.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1013357151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E NORTH LN STE 5075",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251049",
            "telephone_number": "616-364-4044",
            "fax_number": "616-364-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRWAY OXYGEN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS, INC.",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "RUSSALESI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "484-246-9499"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.