Active NPI
Fitzsimmons Surgical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FITZSIMMONS SURGICAL SUPPLY INC
- Practice address
- 1450 SW 3Rd St Ste a-10
Pompano Beach, FL 33069-3215 - Phone
- (954) 363-1305
- Fax
- (954) 603-8976
- NPI assigned
- Nov 2, 2022
- 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
- Thomas Fitzsimmons
- Title
- President
- Phone
- (708) 532-1199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1450 SW 3Rd St Ste a-10
Pompano Beach, FL 33069-3215
Mailing address
PO Box 1127
Tinley Park, IL 60477-7927
Phone (708) 532-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118472300 | Medicaid | FL |
Other names 1
- Fitzsimmons Home Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231208001898 | FL | DME Supplier - Medical Supply Company With Respiratory Therapist | 1951428127 | Practice locations: Pompano Beach, FL |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1023669900
1951428127
-
- Durable Medical Equipment & Medical Supplies
- Tinley Park, IL
- NPI 1114018785
1951428127
-
- Durable Medical Equipment & Medical Supplies
- Merrillville, IN
- NPI 1427149186
1951428127
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1487473039
1951428127
-
- Durable Medical Equipment & Medical Supplies
- Bensenville, IL
- NPI 1740371400
1951428127
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fitzsimmons Surgical Supply Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Suppl… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Fitzsimmons Surgical Su
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1023669900
-
- Durable Medical Equipment & Medical Supplies
- Tinley Park, IL
- NPI 1114018785
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1487473039
-
- Durable Medical Equipment & Medical Supplies
- Bensenville, IL
- NPI 1740371400
Locations
1450 SW 3rd St
Ste A10
Pompano Beach, FL 33069
Phone (954) 363-1305
6442 Cermak Rd
Berwyn, IL 60402
Phone (708) 795-6300
1906 N Halsted St
Chicago, IL 60614
Phone (312) 665-0080
6428 N Milwaukee Ave
Chicago, IL 60631
Phone (773) 631-6316
2747 W 95th St
Evergreen Pk, IL 60805
Phone (708) 636-0260
17660 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 957-9500
6177 Broadway
Merrillville, IN 46410
Phone (219) 887-7718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1518674142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1127",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604777927",
"telephone_number": "708-532-1199",
"fax_number": "708-532-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SW 3RD ST STE A-10",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693215",
"telephone_number": "954-363-1305",
"fax_number": "954-603-8976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITZSIMMONS SURGICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "FITZSIMMONS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-532-1199"
},
"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": "118472300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fitzsimmons Home Medical Equipment",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fitzsimmons Home Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.