Active NPI
Drayer Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
National Provider Identifier
1518162155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DRAYER MEDICAL EQUIPMENT
- Practice address
- 2228-B Sagamore Pkwy S
Lafayette, IN 47905-5112 - Phone
- (765) 607-6858
- Fax
- (765) 807-0090
- NPI assigned
- Jun 15, 2007
- Last updated
- Mar 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barton Todd Drayer
- Title
- Owner
- Phone
- (765) 607-6858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2228-B Sagamore Pkwy S
Lafayette, IN 47905-5112
Mailing address
2228-B Sagamore Pkwy S
Lafayette, IN 47905-5112
Phone (765) 607-6858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200877980A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930058318 | IN | DME Supplier - Medical Supply Company | 5092910034 | Practice locations: Lafayette, IN |
National Provider Directory
National Provider DirectoryLocations
210 Professional Ct
Lafayette, IN 47905
Phone (765) 447-3443
2228B Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 607-6858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1518162155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228-B SAGAMORE PKWY S",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055112",
"telephone_number": "765-607-6858",
"fax_number": "765-807-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228-B SAGAMORE PKWY S",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055112",
"telephone_number": "765-607-6858",
"fax_number": "765-807-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAYER MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "DRAYER",
"authorized_official_first_name": "BARTON",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-607-6858"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200877980A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Dr M a Gutwein P C (Dr Mitchell a Gutwein PC)
- Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
- Dr. Eric Lehr & Associates
- Dr. Steven a. Firestone & Associates
- Joel R Dragoo, DDS
- Dsi-Iu Health Arnett Dialysis, LLC (U.S. Renal Care Lafayette Dialysis)
- Duane a Gillam (Lafayette Vision Care)
- Aaron Joel Duberstein, MD
- Lauryn Dubose
- Megan Lee Duchemin, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.