Organization Active NPI

Absolute Medical, Inc.

  • Customized Equipment (DME)
  • Chicago, IL
National Provider Identifier
1568417319
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
203.001057 Issued in IL
Legal business name
ABSOLUTE MEDICAL, INC.
Practice address
1843 W Hubbard St
Suite 2a
Chicago, IL 60622-6236
Phone
(888) 214-4100
Fax
(877) 877-8168
NPI assigned
May 23, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Mr. Joseph P. Rapine III
Title
President
Phone
(888) 214-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 6000006560 PA
Customized Equipment (DME) 332BC3200X 203.001057 IL Primary

Addresses

Primary practice location

1843 W Hubbard St
Suite 2a
Chicago, IL 60622-6236

Mailing address

1843 W Hubbard St
Suite 2a
Chicago, IL 60622-6236
Phone (888) 214-4100

Other identifiers 2

IdentifierTypeStateIssuer
101845649001MedicaidPA
200883750AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080211 IL DME Supplier - Medical Supply Company 5395954424 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Absolute Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 Eisenhower Ave
Ste 205B
Norristown, PA 19403
Phone (484) 690-0160

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1568417319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 W HUBBARD ST",
            "address_2": "SUITE 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226236",
            "telephone_number": "888-214-4100",
            "fax_number": "877-877-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 W HUBBARD ST",
            "address_2": "SUITE 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226236",
            "telephone_number": "888-214-4100",
            "fax_number": "877-877-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "RAPINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-214-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "6000006560",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "203.001057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101845649001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200883750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.