Ros Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROS MEDICAL SUPPLY INC

Practice address

6409 City West Pkwy Ste 100
Eden Prairie, MN 55344-7845

Phone

(952) 209-2820

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Rada Shevtsov

Title

Owner

Phone

(612) 247-1547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1720712797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447845",
            "telephone_number": "952-209-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447845",
            "telephone_number": "952-209-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "SHEVTSOV",
        "authorized_official_first_name": "RADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-247-1547"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Romano, OD
• Claire Rondeau
• Taylor Rookstool, APRN
• Rose Rogstad Rooney, PAC
• Ros Home Health Care, Inc.
• Rosario Grau MD PA
• Kimberly Roseman, LADC
• Claire Rosen, MA, LPCC, LADC
• Peyton Matthew Roteff, MD
• Eira Roth, M.D.

• Durable Medical Equipment & Medical Supplies in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.