Active NPI
Medical Products Group, LLC
Doing business as Family Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1174081483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL PRODUCTS GROUP, LLC
- Doing business as
- Family Home Medical Equipment
- Practice address
- 2202 Buechel Ave Ste 101
Louisville, KY 40218-2672 - Phone
- (630) 462-6770
- NPI assigned
- Mar 5, 2019
- Last updated
- Mar 5, 2019
- 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
- Dr. Osawaru Omoruyi, MD
- Title
- Owner
- Phone
- (630) 462-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2202 Buechel Ave Ste 101
Louisville, KY 40218-2672
Mailing address
PO Box 43842
Louisville, KY 40253-0842
Phone (630) 462-6770
Other names 1
- Family Home Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201113000408 | KY | DME Supplier - Medical Supply Company | 5799987152 | Practice locations: Louisville, KY |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dixon, IL
- NPI 1598864555
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Dixon, IL
- NPI 1598864555
Member Of
Locations
2202 Buechel Ave
Louisville, KY 40218
Phone 50233829642672
2202 Buechel Ave
Ste 101
Louisville, KY 40218
Phone (630) 462-6770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1174081483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43842",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402530842",
"telephone_number": "630-462-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 BUECHEL AVE STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182672",
"telephone_number": "630-462-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PRODUCTS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "OMORUYI",
"authorized_official_first_name": "OSAWARU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-462-6770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Home Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Medical Eye Associates of Louisville PSC
- Medical Imaging Consultants, PSC
- Medical Laboratory Consultants, PLLC
- Medical Nutritional Therapists, Inc.
- Medical Specialists of Kentuckiana
- Medical Specialists of Kentuckiana PLLC (Paincare Institute division)
- Medical Systems Management, Inc. (A New Life Chiropractic)
- Medicine PLLC
- Medifar Medical, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.