Organization Active NPI

Bluewave DME Inc

  • Clinic/Center
  • Richmond, TX
National Provider Identifier
1801700125
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUEWAVE DME INC
Practice address
4932 Twin Summit Dr
Richmond, TX 77469-3381
Phone
(564) 654-6545
Fax
(564) 654-6545
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Amreen Imran
Title
President
Phone
(564) 654-6545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

4932 Twin Summit Dr
Richmond, TX 77469-3381

Mailing address

2740 Columbus St Ste 300
Ottawa, IL 61350-3771
Phone (564) 654-6545

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1801700125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 COLUMBUS ST STE 300",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503771",
            "telephone_number": "564-654-6545",
            "fax_number": "564-654-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 TWIN SUMMIT DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693381",
            "telephone_number": "564-654-6545",
            "fax_number": "564-654-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWAVE DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "IMRAN",
        "authorized_official_first_name": "AMREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "564-654-6545"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.