Organization Active NPI

Renji John

  • Durable Medical Equipment & Medical Supplies
  • Garland, TX
National Provider Identifier
1215117239
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RENJI JOHN
Practice address
3016 S Shiloh Rd
Garland, TX 75041-2415
Phone
(214) 227-4353
Fax
(214) 227-4356
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Renji JohnNPI 1336219781
Title
Ownner/C.E.O
Phone
(214) 227-4353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0073430 TX

Addresses

Primary practice location

3016 S Shiloh Rd
Garland, TX 75041-2415

Mailing address

922 Myers Meadow Dr
Garland, TX 75043-3711
Phone (214) 227-4353

Other identifiers 2

IdentifierTypeStateIssuer
166790901MedicaidTX
166790902MedicaidTX

Other names 1

  • Alpha-Omega Medical Supply Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930068933 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2567670425 Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Alpha-Omega Medical Supply3016 S Shiloh Rd, Garland, TX 75041-2415(214) 227-4353 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or… Accepts assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

Locations

3016 S Shiloh Rd
Garland, TX 75041
Phone (214) 227-4353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1215117239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MYERS MEADOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433711",
            "telephone_number": "214-227-4353",
            "fax_number": "214-227-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 S SHILOH RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412415",
            "telephone_number": "214-227-4353",
            "fax_number": "214-227-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENJI JOHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "RENJI",
        "authorized_official_title_or_position": "OWNNER/C.E.O",
        "authorized_official_telephone_number": "214-227-4353"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0073430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166790901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166790902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha-Omega Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpha-Omega Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.