Organization Active NPI

Surehealth Medical Suppy

  • Durable Medical Equipment & Medical Supplies
  • Bowie, MD
National Provider Identifier
1164959227
Registry record updated Jan 5, 2024
On this page

Key facts

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

Updated by the provider on Jan 5, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1945OtherMARYLAND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191003003514 MD DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 5799016838 Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.