Organization Active NPI

B.W. Surgical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kensington, MD
National Provider Identifier
1417998345
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
B.W. SURGICAL SUPPLY, INC.
Practice address
10556 Metropolitan Ave
Kensington, MD 20895-2606
Phone
(301) 946-1888
Fax
(301) 946-4479
NPI assigned
Jun 10, 2006
Last updated
May 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Authorized official

Name
Mr. Yan Feldblyum
Title
President
Phone
(301) 946-1888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

10556 Metropolitan Ave
Kensington, MD 20895-2606

Mailing address

10556 Metropolitan Ave
Kensington, MD 20895-2606
Phone (301) 946-1888

Other identifiers 2

IdentifierTypeStateIssuer
950401000MedicaidMD
1417998345MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078571 MD DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Oxygen & Equipment 8820119514 Practice locations: Kensington, MD

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
B.W Surgical Supply Inc.10556 Metropolitan Ave, Kensington, MD 20895-2606(301) 946-1888 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical N… Accepts assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

10556 Metropolitan Ave
Kensington, MD 20895
Phone (301) 946-1888

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1417998345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 METROPOLITAN AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952606",
            "telephone_number": "301-946-1888",
            "fax_number": "301-946-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 METROPOLITAN AVE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952606",
            "telephone_number": "301-946-1888",
            "fax_number": "301-946-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.W. SURGICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "FELDBLYUM",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-946-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950401000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417998345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.