Airway Oxygen Inc
Organization Active NPI Oxygen Equipment & Supplies (DME) · Dewitt, MI
NPI 1124102207 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1124102207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- AIRWAY OXYGEN INC
- Practice address
- 1161 E Clark Rd Ste 232
Dewitt, MI 48820-8312 - Phone
- (517) 322-2818
- Fax
- (517) 322-2865
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AEROCARE HOLDINGS, INC.
Authorized official
- Name
- Wendy Russalesi
- Title
- Chief Compliance Officer
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 15
Corporate family (same tax ID) 16
Member of 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Airway Oxygen Inc |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Negative Pressure Wound Therapy Pumps/Supp… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077300 | MI | DME Supplier - Medical Supply Company With Respiratory Therapist |
7517085749 | Practice locations: Dewitt, MI |
National Provider Directory
- Tax ID family
- Airway Oxygen Inc
- Part of
- Aerocare Holdings Inc
Locations
1161 E Clark Rd
Ste 232
Dewitt, MI 48820
Phone (517) 322-2818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
1161 E Clark Rd Ste 232
Dewitt, MI 48820-8312
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540D10642 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 5019426 | Medicaid | MI |
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All providers in Dewitt, MI · Oxygen Equipment & Supplies (DME) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.