Organization Active NPI

Durable Medical Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Auburn, MA
National Provider Identifier
1790881530
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
DURABLE MEDICAL EQUIPMENT, INC
Practice address
42 Southbridge St
Auburn, MA 01501-2582
Phone
(508) 407-7700
Fax
(508) 407-7717
NPI assigned
Sep 16, 2006
Organization subpart
Yes
Parent organization
RELIANT MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Tarek Elsawy, M.D.
Title
President and Ceo
Phone
(508) 852-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

42 Southbridge St
Auburn, MA 01501-2582

Mailing address

5 Neponset St
Worcester, MA 01606-2714
Phone (508) 852-0600

Other identifiers 3

IdentifierTypeStateIssuer
AA31092OtherMAHARVARD PILGRIM HC
2354OtherMAPAYOR FCHP
400154OtherMABCBS

Other names 1

  • Lakeview Medical Inc Former legal business name

National Provider Directory

National Provider Directory
Part of
Fallon Clinic Pharmacy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

42 Southbridge St
Auburn, MA 01501
Phone (508) 407-7700

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1790881530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "508-852-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012582",
            "telephone_number": "508-407-7700",
            "fax_number": "508-407-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT MEDICAL GROUP, INC",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "ELSAWY",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "508-852-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC",
            "identifier": "AA31092",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAYOR FCHP",
            "identifier": "2354",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "400154",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Medical Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lakeview Medical Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.