NPIMap

Organization Active NPI

Tmed Holdings, Inc.

Doing business as Charm Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • West Hartford, CT
National Provider Identifier
1316227796
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TMED HOLDINGS, INC.
Doing business as
Charm Medical Supply
Practice address
141 South St Ste a
West Hartford, CT 06110-1963
Phone
(860) 296-3565
Fax
(860) 296-3566
NPI assigned
Aug 17, 2011
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Mr. Peter H. Tallas
Title
President
Phone
(781) 829-9813

Specialties & licenses 1

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

Addresses

Primary practice location

141 South St Ste a
West Hartford, CT 06110-1963

Mailing address

33 Riverside Dr
Suite 200
Pembroke, MA 02359-1951
Phone (781) 829-9813

Other identifiers 2

IdentifierTypeStateIssuer
5564260MedicaidRI
1544039MedicaidMA

Other names 1

  • Charm Medical Supply Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000929 CT DME Supplier - Medical Supply Company 4880895630 Practice locations: West Hartford, CT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Tmed Holdings, Inc141 South St, West Hartford, CT 06110-1963(860) 967-3560 Blood Glucose Monitors/Supplies (Mail Order)|Seat Lift Mechanisms|Urological Supplies Does not accept assignmentParticipating since Nov 22, 2005

National Provider Directory

National Provider Directory
Tax ID family
Charm Medical Supply3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

141 South St
Ste A
West Hartford, CT 06110
Phone (860) 296-3565

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1316227796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591951",
            "telephone_number": "781-829-9813",
            "fax_number": "781-829-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SOUTH ST STE A",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101963",
            "telephone_number": "860-296-3565",
            "fax_number": "860-296-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMED HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "TALLAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-829-9813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5564260",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544039",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charm Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charm Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.