Active NPI
Orbit Medical Products of Madison Heights LLC
- Durable Medical Equipment & Medical Supplies
- Kentwood, MI
National Provider Identifier
1386518660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORBIT MEDICAL PRODUCTS OF MADISON HEIGHTS LLC
- Practice address
- 4513 Broadmoor Ave SE Ste C
Kentwood, MI 49512-5313 - Phone
- (800) 430-0539
- Fax
- (801) 281-4599
- NPI assigned
- Oct 1, 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
- Kiley Ann Russell
- Title
- Senior Director of Payor Relations
- Phone
- (629) 252-8211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
4513 Broadmoor Ave SE Ste C
Kentwood, MI 49512-5313
Mailing address
9495 Winnetka Ave N Ste 200
Brooklyn Park, MN 55445-1706
Phone (629) 252-8211
National Provider Directory
National Provider Directory- Tax ID family
- Orbit Medical Products of Madison Heights LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Orbit Medical Products of Madison Heights Inc
- Durable Medical Equipment & Medical Supplies
- Madison Heights, MI
- NPI 1184653024
Locations
4513 Broadmoor Ave SE
Ste C
Kentwood, MI 49512
Phone (800) 430-0539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1386518660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9495 WINNETKA AVE N STE 200",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554451706",
"telephone_number": "629-252-8211",
"fax_number": "763-255-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 BROADMOOR AVE SE STE C",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495125313",
"telephone_number": "800-430-0539",
"fax_number": "801-281-4599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORBIT MEDICAL PRODUCTS OF MADISON HEIGHTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KILEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SENIOR DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "629-252-8211"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.