Organization Active NPI

M's Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1306872890
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M'S MEDICAL SUPPLY INC.
Practice address
2430 Fry Rd Ste 106
Houston, TX 77084-5831
Phone
(281) 599-3633
Fax
(281) 599-0524
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Catherine D Kisijara
Title
Owner
Phone
(281) 599-3633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

2430 Fry Rd Ste 106
Houston, TX 77084-5831

Mailing address

2430 Fry Rd Ste 106
Houston, TX 77084-5831
Phone (281) 599-3633

Other identifiers 3

IdentifierTypeStateIssuer
176406001MedicaidTX
176406003MedicaidTX
5287880001OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203001025 TX DME Supplier - Medical Supply Company 0042407942 Practice locations: Houston, 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
M's Medical Supply Inc2430 Fry Rd, Houston, TX 77084-5831(281) 599-3633 Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

2430 Fry Rd
Ste 106
Houston, TX 77084
Phone (281) 599-3633

2415 Fry Rd
Katy, TX 77449
Phone (281) 599-3633

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1306872890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 FRY RD STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845831",
            "telephone_number": "281-599-3633",
            "fax_number": "281-599-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 FRY RD STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845831",
            "telephone_number": "281-599-3633",
            "fax_number": "281-599-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M'S MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "KISIJARA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-599-3633"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176406001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176406003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5287880001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.