Active NPI
Golden Heart Medical Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Round Rock, TX
National Provider Identifier
1124995089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GOLDEN HEART MEDICAL SUPPLIES, INC
- Practice address
- 2111 Sam Bass Rd Ste 500a
Round Rock, TX 78681-1801 - Phone
- (512) 879-4155
- Fax
- (512) 788-9585
- NPI assigned
- Oct 23, 2025
- 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
- Catharine Oostdam
- Title
- Owner
- Phone
- (512) 879-4155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
2111 Sam Bass Rd Ste 500a
Round Rock, TX 78681-1801
Mailing address
2111 Sam Bass Rd Ste 500a
Round Rock, TX 78681-1801
Phone (512) 879-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124995089 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260423000635 | TX | DME Supplier - Medical Supply Company | 6406323823 | Practice locations: Round Rock, TX |
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 |
|---|---|---|
| Golden Heart Medical Supplies, Inc | Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2111 Sam Bass Rd
Ste 500A
Round Rock, TX 78681
Phone (512) 879-4155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1124995089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 SAM BASS RD STE 500A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811801",
"telephone_number": "512-879-4155",
"fax_number": "512-788-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 SAM BASS RD STE 500A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811801",
"telephone_number": "512-879-4155",
"fax_number": "512-788-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN HEART MEDICAL SUPPLIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-23",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "OOSTDAM",
"authorized_official_first_name": "CATHARINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-879-4155"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124995089",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.