Organization Active NPI

Excelsis Medical Supplies Corp

  • Durable Medical Equipment & Medical Supplies
  • Waldorf, MD
National Provider Identifier
1306702139
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXCELSIS MEDICAL SUPPLIES CORP
Practice address
8 Irongate Dr Ste a
Waldorf, MD 20602-2786
Phone
(301) 266-7264
Fax
(844) 554-4375
NPI assigned
Dec 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
James L Tarver
Title
Owner
Phone
(301) 266-7264

Specialties & licenses 1

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

Addresses

Primary practice location

8 Irongate Dr Ste a
Waldorf, MD 20602-2786

Mailing address

9310 Caliph St
Brandywine, MD 20613-7723
Phone (301) 266-7264

National Provider Directory

National Provider Directory

Locations

8 Irongate Dr
Ste A
Waldorf, MD 20602
Phone (301) 266-7264

8 Irongate Dr
Ste F
Waldorf, MD 20602

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1306702139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 CALIPH ST",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206137723",
            "telephone_number": "301-266-7264",
            "fax_number": "844-554-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 IRONGATE DR STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022786",
            "telephone_number": "301-266-7264",
            "fax_number": "844-554-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIS MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-266-7264"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.