Organization Active NPI

Golden Heart Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Round Rock, TX
National Provider Identifier
1124995089
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 8, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124995089MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260423000635 TX DME Supplier - Medical Supply Company 6406323823 Practice locations: Round Rock, TX

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
Golden Heart Medical Supplies, Inc2111 Sam Bass Rd, Round Rock, TX 78681-1801(512) 879-4155 Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Surgical Dressings Does not accept assignmentParticipating since Jan 23, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.