Active NPI
United Medical Supplies Corp
- Oxygen Equipment & Supplies (DME)
- Las Vegas, NV
National Provider Identifier
1639227895
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(8) exclusion effective Jul 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- MP00149
- Legal business name
- UNITED MEDICAL SUPPLIES CORP
- Practice address
- 3111 S Valley View Blvd
B107
Las Vegas, NV 89102-8317 - Phone
- (702) 368-3003
- Fax
- (702) 368-3007
- NPI assigned
- Jan 6, 2007
- 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
- Mr. Anil K Mathur
- Title
- President
- Phone
- (702) 368-3003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MP00149 | NV | Primary |
Addresses
Primary practice location
3111 S Valley View Blvd
B107
Las Vegas, NV 89102-8317
Mailing address
3111 S Valley View Blvd
B107
Las Vegas, NV 89102-8317
Phone (702) 368-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
3111 S Valley View Blvd
Ste B107
Las Vegas, NV 89102
Phone (702) 368-3003
3111 S Valley View Blvd
#B10
Las Vegas, NV 89102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639227895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 S VALLEY VIEW BLVD",
"address_2": "B107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028317",
"telephone_number": "702-368-3003",
"fax_number": "702-368-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 S VALLEY VIEW BLVD",
"address_2": "B107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028317",
"telephone_number": "702-368-3003",
"fax_number": "702-368-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MEDICAL SUPPLIES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MATHUR",
"authorized_official_first_name": "ANIL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-368-3003",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NV",
"license": "MP00149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.