Active NPI
A & a Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Solon, OH
National Provider Identifier
1114966181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- A & A MEDICAL SUPPLY LLC
- Practice address
- 5875 Harper Rd
Solon, OH 44139-1832 - Phone
- (440) 543-4645
- Fax
- (800) 619-9009
- NPI assigned
- Jun 5, 2006
- Last updated
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiley Ann Russell
- Title
- Senior Director of Payor Relations
- Phone
- (629) 252-8211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | OH | Primary | |
| Customized Equipment (DME) | 332BC3200X | NU |
Addresses
Primary practice location
5875 Harper Rd
Solon, OH 44139-1832
Mailing address
9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1618
Phone (629) 282-8211
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000510295 | Other | OH | ANTHEM BC/BS |
| 2676199 | Medicaid | OH | |
| 378914 | Other | OH | WELLCARE |
| 742189 | Other | OH | BUCKEYE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073381 | OH | DME Supplier - Medical Supply Company | 0840492302 | Practice locations: Solon, OH |
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 |
|---|---|---|
| A & a Medical Supply LLC | Patient Lifts|Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessorie… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
8221 Washington St
Chagrin Falls, OH 44023
Phone (440) 543-4645
8229 Washington St
Ste B
Chagrin Falls, OH 44023
Phone (440) 543-4645
5875 Harper Rd
Solon, OH 44139
Phone (440) 543-4645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1114966181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 WINNETKA AVE N STE 200",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451618",
"telephone_number": "629-282-8211",
"fax_number": "763-255-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 HARPER RD",
"city": "SOLON",
"state": "OH",
"postal_code": "441391832",
"telephone_number": "440-543-4645",
"fax_number": "800-619-9009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & A MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KILEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SENIOR DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "629-252-8211"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000510295",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2676199",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "378914",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "742189",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.