Active NPI
DME & Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 16166763
- Legal business name
- DME & SUPPLIES LLC
- Practice address
- 9701 Apollo Dr Ste 105
Largo, MD 20774-4785 - Phone
- (301) 985-2985
- Fax
- (240) 565-6034
- NPI assigned
- Mar 22, 2017
- Last updated
- Mar 31, 2025
- 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
- Michelle Wallace
- Title
- President
- Phone
- (301) 985-2985
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 16166763 | MD | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
9701 Apollo Dr Ste 105
Largo, MD 20774-4785
Mailing address
9701 Apollo Dr Ste 105
Largo, MD 20774-4785
Phone (301) 985-2985
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05005571 | Other | MD | AMERIGROUP |
| 444313600 | Medicaid | MD | |
| DG60 | Other | MD | CAREFIRST BLUECHOICE |
| 5906592 | Other | CIGNA | |
| DG60 | Other | MD | CAREFIRST BLUECROSS BLUESHIELD |
| 2021218766 | Medicaid | VA | |
| 250694969 | Medicaid | DE | |
| DG60 | Other | DC | CAREFIRST CHPDC |
| DM1697 | Medicaid | SC | |
| MDPRV00024017 | Other | MD | AETNA BETTER HEALTH |
| 05005571 | Other | DC | AMERIGROUP |
| 60402094 | Other | DC | AMERI HEALTH CARITAS DC |
| 060653859 | Medicaid | DC | |
| 10085097 | Other | DC | MEDSTAR FAMILY CHOICE OF DC |
| 10085097 | Other | MD | MEDSTAR FAMILY CHOICE OF MD |
| PDXGR13328727 | Other | MD | AETNA BETTER HEALTH OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171221001354 | MD | DME Supplier - Medical Supply Company | 7618235631 | Practice locations: Largo, MD |
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 |
|---|---|---|
| DME & Supplies LLC | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical N… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
9701 Apollo Dr
Ste 105
Upper Marlboro, MD 20774
Phone (301) 985-2985
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Durable Medical Equipment & Medical Supplies
- Largo, MD
- NPI 1972044519
-
- Physician Office Based Coding Specialist
- Largo, MD
- NPI 1649733452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1760913677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 APOLLO DR STE 105",
"city": "LARGO",
"state": "MD",
"postal_code": "207744785",
"telephone_number": "301-985-2985",
"fax_number": "240-565-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 APOLLO DR STE 105",
"city": "LARGO",
"state": "MD",
"postal_code": "207744785",
"telephone_number": "301-985-2985",
"fax_number": "240-565-6034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DME & SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-22",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-985-2985"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "16166763",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "05005571",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "444313600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "DG60",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5906592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUESHIELD",
"identifier": "DG60",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021218766",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250694969",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST CHPDC",
"identifier": "DG60",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM1697",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH",
"identifier": "MDPRV00024017",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "05005571",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERI HEALTH CARITAS DC",
"identifier": "60402094",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060653859",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDSTAR FAMILY CHOICE OF DC",
"identifier": "10085097",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDSTAR FAMILY CHOICE OF MD",
"identifier": "10085097",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH OF MD",
"identifier": "PDXGR13328727",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
- Distinctive Home Care (Distinctive Health Care)
- Diversity Counseling Associates, LLC
- Abiodun Mary Dixon
- Karen M Dixon, MD
- DLC Distributors, LLC
- Dot's Therapeutic Counseling Services, LLC
- Anquenetta Latosha Douglas, M.D.
- Dr Larosiliere DDS-Largo Inc (Smiles Pediatric Dental Care)
- Dr-Ashai LLC
- Dr. Harry Klapper, DDS, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.