Organization Active NPI

Pinnacle Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Aurora, CO
National Provider Identifier
1013588581
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PINNACLE MEDICAL SUPPLIES LLC
Practice address
14261 E 4TH Ave Ste 160
Aurora, CO 80011-8463
Phone
(720) 532-8130
Fax
(720) 328-8010
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Charles Maobughichi Thomas, OWNER
Title
Ceo
Phone
(303) 435-9697

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

14261 E 4TH Ave Ste 160
Aurora, CO 80011-8463

Mailing address

14261 E 4TH Ave Ste 160
Aurora, CO 80011-8463
Phone (720) 532-8130

Other identifiers 2

IdentifierTypeStateIssuer
20211626695OtherCOCOLORADO SECRETARY OF STATE
9000206221MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220616001394 CO DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory Therapist 0749669059 Practice locations: Aurora, CO

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
Clock Tower Square Boxer Property14261 E 4TH Ave, Aurora, CO 80011-8704(720) 532-8130 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Suppli… Accepts assignmentParticipating since Mar 29, 2022

National Provider Directory

National Provider Directory

Locations

14261 E 4th Ave
Ste 285
Aurora, CO 80011

14261 E 4th Ave
Ste 160
Aurora, CO 80011
Phone (720) 532-8130

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1013588581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 E 4TH AVE STE 160",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118463",
            "telephone_number": "720-532-8130",
            "fax_number": "866-410-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 E 4TH AVE STE 160",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118463",
            "telephone_number": "720-532-8130",
            "fax_number": "720-328-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MAOBUGHICHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-435-9697",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO SECRETARY OF STATE",
            "identifier": "20211626695",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000206221",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.