Active NPI
Ultima Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Frisco, TX
National Provider Identifier
1578873287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288911502 | Medicaid | TX | |
| 288911501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111116000710 | TX | DME Supplier - Medical Supply Company | 5395919989 | Practice locations: Frisco, TX |
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 |
|---|---|---|
| Ultima Medical Supply LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.