Organization Active NPI

Medical Plus Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Grand Prairie, TX
National Provider Identifier
1386800423
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0104636 Issued in TX
Legal business name
MEDICAL PLUS SUPPLIES, INC.
Practice address
201 E Main St
Grand Prairie, TX 75050-5724
Phone
(713) 440-6700
Fax
(888) 331-4002
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Mr. Esteban Rodriguez
Title
Vice President
Phone
(713) 440-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0104636 TX Primary

Addresses

Primary practice location

201 E Main St
Grand Prairie, TX 75050-5724

Mailing address

1555 Avenue S
102
Grand Prairie, TX 75050-1276
Phone (713) 440-6700

Other identifiers 4

IdentifierTypeStateIssuer
218050701MedicaidTX
218050702MedicaidTX
218050703MedicaidTX
332B00000XOtherTXTAXONOMY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041814 TX DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 7012035124 Practice locations: Grand Prairie, TX

Other NPIs with the same Medicare PAC ID 4

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
Medical Plus Supplies Inc201 E Main St, Grand Prairie, TX 75050-5724(800) 298-3948 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Walkers|… Does not accept assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Medical Plus Supplies6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1555 Avenue S
Ste 102
Grand Prairie, TX 75050

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1386800423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 AVENUE S",
            "address_2": "102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501276",
            "telephone_number": "713-440-6700",
            "fax_number": "866-867-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MAIN ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505724",
            "telephone_number": "713-440-6700",
            "fax_number": "888-331-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLUS SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-440-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0104636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218050701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218050702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218050703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "332B00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.