Active NPI
Excelsis Medical Supplies Corp
- Durable Medical Equipment & Medical Supplies
- Waldorf, MD
National Provider Identifier
1306702139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.