Organization Active NPI

Primemed Traders Inc

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
National Provider Identifier
1013811223
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIMEMED TRADERS INC
Practice address
790 N Milwaukee St Ste 300
Milwaukee, WI 53202-3712
Phone
(217) 685-1612
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Mahith Devathi
Title
MD
Phone
(217) 685-1612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

790 N Milwaukee St Ste 300
Milwaukee, WI 53202-3712

Mailing address

790 N Milwaukee St Ste 300
Milwaukee, WI 53202-3712
Phone (217) 685-1612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1013811223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N MILWAUKEE ST STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023712",
            "telephone_number": "217-685-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N MILWAUKEE ST STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023712",
            "telephone_number": "217-685-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEMED TRADERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "DEVATHI",
        "authorized_official_first_name": "MAHITH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "217-685-1612"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; 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.