Organization Active NPI

Kci USA, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1366439507
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KCI USA, INC.
Practice address
1765 S 900 W Ste 88
Salt Lake City, UT 84104
Phone
(801) 972-1564
NPI assigned
Oct 3, 2005
Organization subpart
Yes
Parent organization
KCI USA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Rosa Gomez
Title
VP, Medicare Enrollment
Phone
(830) 292-1612

Specialties & licenses 1

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

Addresses

Primary practice location

1765 S 900 W Ste 88
Salt Lake City, UT 84104

Mailing address

6103 Farinon Dr
Attn HCC
San Antonio, TX 78249-3442

Other identifiers 3

IdentifierTypeStateIssuer
806415900MedicaidID
100501855MedicaidNV
118523300MedicaidWY

Other names 1

  • Solventum Advanced Wound Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930026419 UT DME Supplier - Medical Supply Company 8224156518 Practice locations: Salt Lake City, UT

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
Solventum Advanced Wound Care1765 S 900 W, Salt Lake City, UT 84104-1713(801) 972-1564 Negative Pressure Wound Therapy Pumps/Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Kci USA Inc57 organizations share this tax ID, including this one
Part of
Kci USA Inc

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1366439507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 FARINON DR",
            "address_2": "ATTN HCC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 S 900 W STE 88",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84104",
            "telephone_number": "801-972-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCI USA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KCI USA, INC.",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "VP, MEDICARE ENROLLMENT",
        "authorized_official_telephone_number": "830-292-1612"
    },
    "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": "806415900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501855",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118523300",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solventum Advanced Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.