Active NPI
Solara Medical Supplies, LLC
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
National Provider Identifier
1114167111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOLARA MEDICAL SUPPLIES, LLC
- Practice address
- 1401 Vermont St Ste 115
Detroit, MI 48216-2402 - Phone
- (888) 688-1455
- NPI assigned
- Mar 3, 2009
- Organization subpart
- Yes
- Parent organization
- SOLARA MEDICAL SUPPLIES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1401 Vermont St Ste 115
Detroit, MI 48216-2402
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brightree | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930021806 | MI | DME Supplier - Medical Supply Company | 5597885632 | Practice locations: Detroit, MI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Solara Medical Supplies, LLC | Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Ventilators Accessories and/or Supplies|Multi-Function Respiratory Devices (excluding ventilators) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Solara Medical Supplies LLC
- Part of
- Solara Medical Supplies LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Livonia, MI
- NPI 1124559554
-
- Community/Retail Pharmacy
- Livonia, MI
- NPI 1902174196
-
- Pharmacy
- Chula Vista, CA
- NPI 1356716534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1114167111",
"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": "1401 VERMONT ST STE 115",
"city": "DETROIT",
"state": "MI",
"postal_code": "482162402",
"telephone_number": "888-688-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLARA MEDICAL SUPPLIES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOLARA MEDICAL SUPPLIES, INC.",
"enumeration_date": "2009-03-03",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brightree",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "38023 Schoolcraft Rd",
"city": "Livonia",
"state": "MI",
"country_code": "US",
"postal_code": "481501065",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.