Medstar Diabetic Supply, LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSTAR DIABETIC SUPPLY, LP

Practice address

3030 LBJ Fwy Ste 1525
Dallas, TX 75234-7758

Phone

(866) 535-5556

Fax

(866) 535-5456

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Hofmeister

Title

Chief Operating & Financial Officer

Phone

(972) 628-2100

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• CCS Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Degc Enterprises (U.S.), Inc.

  • Pharmacy
  • Roanoke, VA
  • NPI 1750473252

  Member Of

  NPD member

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Degc Enterprises (U.S.), Inc.

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
  • NPI 1295827780

  Member Of

  NPD member
• Degc Enterprises (U.S.), Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
  • NPI 1710079223

  Member Of

  NPD member
• Degc Enterprises (U.S.), Inc.

  • Pharmacy
  • Roanoke, VA
  • NPI 1750473252

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1164460747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FOUNTAIN PKWY N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161411",
            "telephone_number": "972-628-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY STE 1525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347758",
            "telephone_number": "866-535-5556",
            "fax_number": "866-535-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR DIABETIC SUPPLY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "HOFMEISTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF OPERATING & FINANCIAL OFFICER",
        "authorized_official_telephone_number": "972-628-2100"
    },
    "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": "017085402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938430",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141003716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55424279",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100815120A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164460747",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017085403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCS Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medspring of Texas, PA
• Medspring of Texas, PA
• Medspring of Texas, PA
• Medspring of Texas, PA
• Medspring of Texas, PA
• Medstar Orthopedic Supplies, LLC
• Medstar Pain PLLC
• Medsupport Solutions
• Medtell
• Medtest Cost Control

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.