Active NPI
Freestate Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Springfield, VA
National Provider Identifier
1114978731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114978731 | Medicaid | VA | |
| 012424900 | Medicaid | MD | |
| 02917802 | Medicaid | NY | |
| 345902100 | Medicaid | MD | |
| 55790700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930060658 | VA | DME Supplier - Medical Supply Company | 9830392398 | Practice locations: Springfield, VA |
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 |
|---|---|---|
| Freestate Medical Supply, Inc. | Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.