Organization Active NPI

Angelic Medical Designs LLC

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1427468099
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001404 Issued in TX
Legal business name
ANGELIC MEDICAL DESIGNS LLC
Practice address
7043 Bandera Rd
San Antonio, TX 78238-1266
Phone
(210) 384-9201
Fax
(201) 384-9212
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mrs. Mary J Rios, LVNNPI 1194138420
Title
Owner/ President
Phone
(210) 414-9014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1001404 TX Primary

Addresses

Primary practice location

7043 Bandera Rd
San Antonio, TX 78238-1266

Mailing address

7043 Bandera Rd
San Antonio, TX 78238-1266
Phone (210) 384-9201

Other identifiers 2

IdentifierTypeStateIssuer
344504101MedicaidTX
344504102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141014000557 TX DME Supplier - Medical Supply Company 0840410932 Practice locations: San Antonio, TX

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
Angelic Medical Designs, LLC7043 Bandera Rd, San Antonio, TX 78238-1266(210) 384-9201 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Speech Generating Devices|Ultraviolet Light Devices and/or Supplies|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthoses: Off-The-Shelf|Nebulizer Equipment and/o… Accepts assignmentParticipating since Sep 2, 2014

National Provider Directory

National Provider Directory

Locations

2430 W 12th St
Ste 3
Tempe, AZ 85281
Phone (877) 713-5660

7043 Bandera Rd
San Antonio, TX 78238
Phone (210) 384-9201

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1427468099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381266",
            "telephone_number": "210-384-9201",
            "fax_number": "201-384-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381266",
            "telephone_number": "210-384-9201",
            "fax_number": "201-384-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC MEDICAL DESIGNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "210-414-9014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344504101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344504102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.