Organization Active NPI

Vermillion Inc

Doing business as Fittings Unlimited

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
National Provider Identifier
1518939396
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VERMILLION INC
Doing business as
Fittings Unlimited
Practice address
2795 100TH Street
Urbandale, IA 50322
Phone
(515) 727-1406
Fax
(515) 727-1409
NPI assigned
Feb 6, 2006
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Ms. Debra M Bream
Title
Owner
Phone
(515) 727-1406

Specialties & licenses 2

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

Addresses

Primary practice location

2795 100TH Street
Urbandale, IA 50322

Mailing address

2795 100TH Street
Urbandale, IA 50322
Phone (515) 727-1406

Other identifiers 2

IdentifierTypeStateIssuer
0417741MedicaidIA
49821OtherIABCBS OF IA

Other names 1

  • Fittings Unlimited Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930055792 IA DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply CompanyDME Supplier - Prosthetic Personnel 0143435479 Practice locations: Urbandale, IA

National Provider Directory

National Provider Directory

Locations

2793 100th St
Urbandale, IA 50322
Phone (515) 727-1406

2795 100th St
Urbandale, IA 50322
Phone (515) 727-1406

3257 100th St
Urbandale, IA 50322
Phone (515) 727-1406

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1518939396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 100TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-727-1406",
            "fax_number": "515-727-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 100TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-727-1406",
            "fax_number": "515-727-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILLION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "BREAM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-727-1406",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417741",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IA",
            "identifier": "49821",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fittings Unlimited",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fittings Unlimited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.

Verify at the official NPI Registry.