Organization Active NPI

Koya Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1649848672
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOYA MEDICAL, INC.
Practice address
2332 Valdina St
Dallas, TX 75207-6108
Phone
(833) 999-5692
Fax
(855) 461-3339
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Damian Rippole
Title
Cfo
Phone
(415) 234-3895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2332 Valdina St
Dallas, TX 75207-6108

Mailing address

PO Box 6919
Portland, OR 97228-6919
Phone (833) 999-5692

Other practice location 1

2461 Peralta St
Oakland, CA 94607-1703
Phone (415) 209-5035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220513000401 TX DME Supplier - Medical Supply Company 9739566761 Practice locations: Dallas, 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
Koya Medical, Inc2332 Valdina St, Dallas, TX 75207-6108(833) 999-5692 Lymphedema Compression Treatment Items Accepts assignmentParticipating since Feb 18, 2022

National Provider Directory

National Provider Directory

Locations

2461 Peralta St
Oakland, CA 94607
Phone (415) 209-5035

2332 Valdina St
Dallas, TX 75207
Phone (833) 999-5692

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1649848672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6919",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286919",
            "telephone_number": "833-999-5692",
            "fax_number": "855-461-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 VALDINA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752076108",
            "telephone_number": "833-999-5692",
            "fax_number": "855-461-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2461 Peralta St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946071703",
            "country_code": "US",
            "telephone_number": "415-209-5035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOYA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "RIPPOLE",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-234-3895"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.