Organization Active NPI

Tri Star Medical Equipment Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1063523116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRI STAR MEDICAL EQUIPMENT SERVICES INC
Practice address
27379 Van Dyke Ave
Warren, MI 48093-2805
Phone
(586) 754-4444
Fax
(586) 757-4010
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nathu Kalothia
Title
President
Phone
(586) 754-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

27379 Van Dyke Ave
Warren, MI 48093-2805

Mailing address

27379 Van Dyke Ave
Warren, MI 48093-2805
Phone (586) 754-4444

Other identifiers 1

IdentifierTypeStateIssuer
4922909MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063523116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27379 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932805",
            "telephone_number": "586-754-4444",
            "fax_number": "586-757-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27379 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932805",
            "telephone_number": "586-754-4444",
            "fax_number": "586-757-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR MEDICAL EQUIPMENT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALOTHIA",
        "authorized_official_first_name": "NATHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-754-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4922909",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.