Active NPI
Koya Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1649848672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220513000401 | TX | DME Supplier - Medical Supply Company | 9739566761 | Practice locations: Dallas, 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 |
|---|---|---|
| Koya Medical, Inc | Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.