Medsupply Corporation, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDSUPPLY CORPORATION, INC.

Doing business as

MedSupply Corp

Practice address

33333 Dequindre Rd
Suite a
Troy, MI 48083-4624

Phone

(248) 597-9004

Fax

(248) 597-9012

NPI assigned

Jul 5, 2005

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Ashraf Qazi

Title

Ceo

Phone

(248) 386-0300

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MedSupply Corp Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medsupply Corporation, Inc.

  • Prosthetic/Orthotic Supplier
  • Taylor, MI
  • NPI 1164963534

  2668686395

  Same PAC ID

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

Tax ID family

Medsupply Corporation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medsupply Corporation, Inc.

  • Prosthetic/Orthotic Supplier
  • Taylor, MI
  • NPI 1164963534
  NPD tax ID

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1609873611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33333 DEQUINDRE RD",
            "address_2": "SUITE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834624",
            "telephone_number": "248-597-9004",
            "fax_number": "248-597-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33333 DEQUINDRE RD",
            "address_2": "SUITE A",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834624",
            "telephone_number": "248-597-9004",
            "fax_number": "248-597-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSUPPLY CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4577093",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540F317600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedSupply Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rachel Meerhaeghe, DPT
• Khushboo Mehndiratta
• Kritesh Mehta, PT
• Maharshi Mehta
• Neelam Mehta, MA, LPC, NCC

• Prosthetic/Orthotic Supplier in Troy, MI
• Providers in Troy, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.