Organization Active NPI

Electromed, Inc.

Durable Medical Equipment & Medical Supplies
New Prague, MN

National Provider Identifier

1821030909

Registry record updated May 16, 2025

On this page

Key facts
NPPES NPI Registry
Medicare participation
Laboratory certificates & supplier records
National Provider Directory
NPI Registry JSON
Other providers in New Prague, MN
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name: ELECTROMED, INC.
Practice address: 500 6TH Ave NW
New Prague, MN 56071-1134
Phone: (952) 758-9299
Fax: (952) 785-5077
NPI assigned: Jun 12, 2006
Organization subpart: No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name: Kathy Korum
Title: Payor Relations Manager
Phone: (952) 758-9299

Specialties & licenses 2

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X		MN	Primary
Customized Equipment (DME)	332BC3200X

Addresses

Primary practice location

500 6TH Ave NW
New Prague, MN 56071-1134

Mailing address

500 6TH Ave NW
New Prague, MN 56071-1134
Phone (952) 758-9299

Other identifiers 46

Identifier	Type	State
0051501	Medicaid	NJ
100500144	Medicaid	NV
200001280A	Medicaid	OK
29236576	Medicaid	CO
78972531	Medicaid	NM
02814428	Medicaid	NY
1135984	Medicaid	LA
1821030909	Medicaid	SD
200399120A	Medicaid	IN
205787716	Medicaid	OR
7489021 00	Medicaid	MD
DE2214	Medicaid	SC
1011561	Medicaid	VT
205787716	Medicaid	AR
3098943	Medicaid	NH
4582294	Medicaid	TN
5606413	Medicaid	MT
016662600	Medicaid	MN
492711569A	Medicaid	GA
001887790 0001	Medicaid	PA
00440933	Medicaid	MS
009939495	Medicaid	AL
117817200	Medicaid	WY
158531702	Medicaid	TX
432873300	Medicaid	ME
9120203	Medicaid	VA
1733907	Medicaid	AK
2320492	Medicaid	OH
43542600	Medicaid	DC
561292	Medicaid	AZ
625718101	Medicaid	MO
9000534900	Medicaid	KY
MS2920	Medicaid	AK
0556068	Medicaid	IA
100416380B	Medicaid	KS
3114717	Medicaid	CT
3810008973	Medicaid	WV
55011	Medicaid	ND
82171800	Medicaid	WI
9840001	Medicaid	RI
10025643700	Medicaid	NE
1508179649	Medicaid	CA
4579436	Medicaid	MI
7704700	Medicaid	NC
806217200	Medicaid	ID
9054842	Medicaid	WA

Electronic endpoints 2

Type	Endpoint	Use	Affiliation
Other URL	www.smartvest.com
Direct Messaging Address	info@electromed.com	Direct

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Enrolled in MN

Enrollment records 1

Enrollment ID	State	Provider type	PAC ID	Details
O20100930032074	MN	DME Supplier - Medical Supply Company	5890907398	Practice locations: New Prague, MN

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

Supplier	Supplies	Medicare assignment
Electromed Inc500 6TH Ave NW, New Prague, MN 56071-1134(952) 758-9299	High Freq Chest Wall Oscillation Devices/Supplies	Accepts assignmentParticipating since Jan 1, 2012

National Provider Directory

Tax ID family: Electromed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Electromed, Inc.
- Durable Medical Equipment & Medical Supplies
- Simi Valley, CA
- NPI 1508179649
NPD tax ID

Locations

101 Lottie Ln
Ste 5A
Fairhope, AL 36532

4590 Ish Dr
Ste 150
Simi Valley, CA 93063
Phone (952) 758-9299

301 N Barcelona St
Ste F
Pensacola, FL 32501

76 Merrimack St
Ste 6A
Haverhill, MA 01830
Phone (800) 462-1045

500 6th Ave NW
New Prague, MN 56071
Phone (952) 758-9299

Networks

Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1821030909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 6TH AVE NW",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711134",
            "telephone_number": "952-758-9299",
            "fax_number": "952-785-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 6TH AVE NW",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711134",
            "telephone_number": "952-758-9299",
            "fax_number": "952-785-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "KORUM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "952-758-9299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
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            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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            "issuer": null,
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            "state": "NE"
        },
        {
            "code": "05",
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        },
        {
            "code": "05",
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        },
        {
            "code": "05",
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    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.smartvest.com",
            "affiliation": "N",
            "address_1": "500 6th Ave NW",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560711134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@electromed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical",
            "address_1": "500 6th Ave NW",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560711134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.