Star Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAR MEDICAL SUPPLY, INC.

Practice address

3502 Eastern Ave
Baltimore, MD 21224-4123

Phone

(410) 276-3100

Fax

(410) 843-3000

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leonid ShayayevNPI 1457899064

Title

President

Phone

(410) 276-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonid Shayayev

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1457899064
  NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1407888175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244123",
            "telephone_number": "410-276-3100",
            "fax_number": "410-843-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244123",
            "telephone_number": "410-276-3100",
            "fax_number": "410-843-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SHAYAYEV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-276-3100",
        "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": "402967400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Star Behavioral Health & Recovery Center LLC
• Star Behavioral Health & Recovery Center LLC
• Star Behavioral Health & Recovery Center LLC
• Star Behavioral Health & Recovery Center LLC
• Star Chiropractic LLC
• Star Therapy Inc.
• Magdalena Karolina Starban, M.D.
• Abigayle Michelle Stark
• Larissa Stark, CRNP
• Jessica Starke

• Durable Medical Equipment & Medical Supplies in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.