Medsupply Corporation, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDSUPPLY CORPORATION, INC.

Practice address

24455 Goddard Rd
Taylor, MI 48180-3933

Phone

(734) 992-6975

NPI assigned

Mar 17, 2017

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Qazi

Title

Ceo

Phone

(248) 386-0300

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medsupply Corporation, Inc.

  dba MedSupply Corp

  • Prosthetic/Orthotic Supplier
  • Troy, MI
  • NPI 1609873611

  2668686395

  Same PAC ID

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

Tax ID family

Medsupply Corporation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medsupply Corporation, Inc.

  dba MedSupply Corp

  • Prosthetic/Orthotic Supplier
  • Troy, MI
  • NPI 1609873611
  NPD tax ID

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1164963534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24455 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24455 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803933",
            "telephone_number": "734-992-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSUPPLY CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor McNamee, MD
• MD Health Care LLC (MD Health Care)
• Med Mart Pharmacy 1 LLC
• Med Mart Pharmacy LLC
• Medilodge of Taylor, Inc.
• Diana Mehdi
• Virendra Sinha Mehta, M.D.
• Meijer Inc (Meijer Pharmacy #035)
• Jacob Elzie Melton
• Chamara Mercer, NP

• Prosthetic/Orthotic Supplier in Taylor, MI
• Providers in Taylor, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.