Organization Active NPI

Ultima Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Frisco, TX
National Provider Identifier
1578873287
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ULTIMA MEDICAL SUPPLY LLC
Practice address
3880 Parkwood Blvd Ste 301
Frisco, TX 75034-1930
Phone
(214) 884-2658
Fax
(214) 884-2659
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Hiren Patel
Title
Office Manager
Phone
(732) 593-7325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3880 Parkwood Blvd Ste 301
Frisco, TX 75034-1930

Mailing address

3880 Parkwood Blvd Ste 301
Frisco, TX 75034-1930
Phone (214) 884-2658

Other practice location 1

511 E John Carpenter Fwy Ste 500
Irving, TX 75062-8138
Phone (214) 884-2658

Other identifiers 2

IdentifierTypeStateIssuer
288911502MedicaidTX
288911501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000710 TX DME Supplier - Medical Supply Company 5395919989 Practice locations: Frisco, TX

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
Ultima Medical Supply LLC3880 Parkwood Blvd, Frisco, TX 75034-1930(972) 581-9492 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transc… Does not accept assignmentParticipating since Oct 6, 2011

National Provider Directory

National Provider Directory

Locations

1231 Agnes St
Ste A2
Corpus Christi, TX 78401
Phone (361) 883-1005

3880 Parkwood Blvd
Ste 301
Frisco, TX 75034
Phone (214) 884-2658

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1578873287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD STE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341930",
            "telephone_number": "214-884-2658",
            "fax_number": "214-884-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD STE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341930",
            "telephone_number": "214-884-2658",
            "fax_number": "214-884-2659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E John Carpenter Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750628138",
            "country_code": "US",
            "telephone_number": "214-884-2658",
            "fax_number": "214-884-2659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ULTIMA MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-593-7325"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288911502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288911501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.