Organization Active NPI

Freestate Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Springfield, VA
National Provider Identifier
1114978731
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREESTATE MEDICAL SUPPLY, INC.
Practice address
7830 Backlick Rd Ste 202
Springfield, VA 22150-2205
Phone
(703) 440-9320
Fax
(772) 607-5274
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Claudio Galeno de Araujo Filho
Title
President and Director
Phone
(772) 292-7733

Specialties & licenses 1

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

Addresses

Primary practice location

7830 Backlick Rd Ste 202
Springfield, VA 22150-2205

Mailing address

PO Box 674553
Detroit, MI 48267-4553
Phone (888) 440-9320

Other identifiers 5

IdentifierTypeStateIssuer
1114978731MedicaidVA
012424900MedicaidMD
02917802MedicaidNY
345902100MedicaidMD
55790700MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930060658 VA DME Supplier - Medical Supply Company 9830392398 Practice locations: Springfield, VA

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
Freestate Medical Supply, Inc.7830 Backlick Rd, Springfield, VA 22150-2237(703) 440-9320 Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

7830 Backlick Rd
Ste 202
Springfield, VA 22150
Phone (703) 440-9320

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1114978731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674553",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674553",
            "telephone_number": "888-440-9320",
            "fax_number": "772-607-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 BACKLICK RD STE 202",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502205",
            "telephone_number": "703-440-9320",
            "fax_number": "772-607-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREESTATE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ARAUJO FILHO",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "GALENO DE",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "772-292-7733"
    },
    "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": "1114978731",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012424900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02917802",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345902100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55790700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

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