NPIMap

Organization Active NPI

Blue Hill Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Walpole, MA
National Provider Identifier
1255026183
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BLUE HILL MEDICAL SUPPLY
Doing business as
Blue Hill Medical Supply
Practice address
1600 Boston Providence Hwy
Suite 213
Walpole, MA 02081
Phone
(321) 402-6716
Fax
(508) 819-4989
NPI assigned
Apr 6, 2023
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Krishna Gidwani, COF,DMECNPI 1720386477
Title
Owner
Phone
(888) 202-9936

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1600 Boston Providence Hwy
Suite 213
Walpole, MA 02081

Mailing address

1600 Boston Providence Hwy
Suite 213
Walpole, MA 02081
Phone (321) 402-6716

Other names 1

  • Blue Hill Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Providence Hwy
Ste 213
Walpole, MA 02081
Phone (321) 402-6716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1255026183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BOSTON PROVIDENCE HWY",
            "address_2": "SUITE 213",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "321-402-6716",
            "fax_number": "508-819-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BOSTON PROVIDENCE HWY",
            "address_2": "SUITE 213",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "321-402-6716",
            "fax_number": "508-819-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "GIDWANI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-202-9936",
        "authorized_official_credential": "COF,DMEC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hill Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Hill Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.