Organization Active NPI

Premier Medical Products Inc

  • Durable Medical Equipment & Medical Supplies
  • Naperville, IL
National Provider Identifier
1457393985
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.001618 Issued in IL
Legal business name
PREMIER MEDICAL PRODUCTS INC
Practice address
1701 Quincy Ave Ste 1
Naperville, IL 60540-6689
Phone
(630) 420-0308
Fax
(630) 420-0360
NPI assigned
Jun 11, 2006
Last updated
Apr 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Danilo Coite
Title
Chairman of the Board
Phone
(775) 848-1032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.001618 IL Primary

Addresses

Primary practice location

1701 Quincy Ave Ste 1
Naperville, IL 60540-6689

Mailing address

1701 Quincy Ave Ste 1
Naperville, IL 60540-6689
Phone (630) 420-0308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930051896 IL DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 7911025432 Practice locations: Naperville, IL

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
Premier Medical Products Inc1701 Quincy Ave Ste 1, Naperville, IL 60540-6689(630) 420-0308 Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies… Does not accept assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory

Locations

1701 Quincy Ave
Ste 1
Naperville, IL 60540
Phone (630) 420-0308

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1457393985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE STE 1",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406689",
            "telephone_number": "630-420-0308",
            "fax_number": "630-420-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE STE 1",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406689",
            "telephone_number": "630-420-0308",
            "fax_number": "630-420-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "COITE",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "775-848-1032"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.001618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.