Active NPI
Surehealth Medical Suppy
- Durable Medical Equipment & Medical Supplies
- Bowie, MD
National Provider Identifier
1164959227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SUREHEALTH MEDICAL SUPPY
- Practice address
- 3028 Mitchellville Rd Ste 104
Bowie, MD 20716-6331 - Phone
- (301) 867-2455
- Fax
- (410) 692-8855
- NPI assigned
- May 18, 2017
- 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
- Uche Lucy Okeke
- Title
- Managing Director
- Phone
- (301) 867-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD | Primary |
Addresses
Primary practice location
3028 Mitchellville Rd Ste 104
Bowie, MD 20716-6331
Mailing address
3028 Mitchellville Rd Ste 104
Bowie, MD 20716-6331
Phone (301) 867-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1945 | Other | MARYLAND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191003003514 | MD | DME Supplier - Medical Supply Company | 5799016838 | Practice locations: Bowie, MD |
National Provider Directory
National Provider DirectoryLocations
3028 Mitchellville Rd
Ste 104
Bowie, MD 20716
Phone (301) 867-2455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1164959227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 MITCHELLVILLE RD STE 104",
"city": "BOWIE",
"state": "MD",
"postal_code": "207166331",
"telephone_number": "301-867-2455",
"fax_number": "410-692-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 MITCHELLVILLE RD STE 104",
"city": "BOWIE",
"state": "MD",
"postal_code": "207166331",
"telephone_number": "301-867-2455",
"fax_number": "410-692-8855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUREHEALTH MEDICAL SUPPY",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-18",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "OKEKE",
"authorized_official_first_name": "UCHE",
"authorized_official_middle_name": "LUCY",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "301-867-2455"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND",
"identifier": "1945",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.