NPIMap

Organization Active NPI

Urostat Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mountain BRK, AL
National Provider Identifier
1750914552
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UROSTAT HEALTHCARE, INC.
Practice address
500 Office Park Dr Ste 216
Mountain BRK, AL 35223-2441
Phone
(205) 401-0434
Fax
(888) 303-9123
NPI assigned
Feb 20, 2020
Organization subpart
Yes
Parent organization
UROSTAT HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Mr. Craig Samuel Stevens
Title
President/Owner
Phone
(678) 541-5566

Specialties & licenses 1

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

Addresses

Primary practice location

500 Office Park Dr Ste 216
Mountain BRK, AL 35223-2441

Mailing address

1132 Satellite Blvd NW Ste 100
Suwanee, GA 30024-4441
Phone (678) 541-5566

Other names 2

  • UroStat Healthcare, Inc. Doing business as
  • UroStat Helathcare, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318002960 AL DME Supplier - Medical Supply Company 6901161850 Practice locations: Mountain BRK, AL

Other NPIs with the same Medicare PAC ID 1

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

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
Urostat Healthcare, Inc.500 Office Park Dr, Mountain BRK, AL 35223-2441(888) 845-8698 Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Feb 21, 2018

National Provider Directory

National Provider Directory
Tax ID family
Urostat Healthcare Inc2 organizations share this tax ID, including this one
Part of
Urostat Healthcare Inc

Other organizations with this tax ID 1

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

Locations

500 Office Park Dr
Ste 216
Mountain Brk, AL 35223
Phone (205) 517-7715

1132 Satellite Blvd NW
Ste 100
Suwanee, GA 30024
Phone (678) 541-5566

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1750914552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SATELLITE BLVD NW STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244441",
            "telephone_number": "678-541-5566",
            "fax_number": "888-303-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OFFICE PARK DR STE 216",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232441",
            "telephone_number": "205-401-0434",
            "fax_number": "888-303-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSTAT HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROSTAT HEALTHCARE, INC.",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "678-541-5566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UroStat Healthcare, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UroStat Helathcare, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.