Active NPI
Travis Medical Sales Corporation
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRAVIS MEDICAL SALES CORPORATION
- Practice address
- 6894 Alamo Downs Pkwy
San Antonio, TX 78238-4535 - Phone
- (210) 767-8004
- Fax
- (210) 767-8024
- NPI assigned
- Mar 20, 2015
- Last updated
- Mar 24, 2021
- 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
- Jeffrey Matukewicz
- Title
- Secretary
- Phone
- (423) 756-2268
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
6894 Alamo Downs Pkwy
San Antonio, TX 78238-4535
Mailing address
5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210601001896 | TX | DME Supplier - Medical Supply Company | 1355469453 | Practice locations: San Antonio, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1033468111
1355469453
-
- Durable Medical Equipment & Medical Supplies
- Temple, TX
- NPI 1619971025
1355469453
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 |
|---|---|---|
| Travis Medical Sales Corporation | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Stan… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Travis Medical Sales Corporation
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Abilene, TX
- NPI 1144516956
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1033468111
-
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1093006371
-
- Durable Medical Equipment & Medical Supplies
- Temple, TX
- NPI 1619971025
-
- Customized Equipment (DME)
- Lubbock, TX
- NPI 1891222907
-
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
- NPI 1245507284
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fort Myers, FL
- NPI 1477197879
Member Of
Locations
50 Budney Rd
Ste A
Newington, CT 06111
Phone (512) 458-4589
2704 SW 44th St
Oklahoma City, OK 73119
Phone (405) 682-2222
3201 Industrial Ter
Austin, TX 78758
Phone (800) 458-4590
604 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-4718
1300 S Frazier St
Ste 415
Conroe, TX 77301
Phone (936) 539-9110
2910 S Padre Island Dr
Corpus Christi, TX 78415
Phone (361) 806-2772
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Dallas, TX
- NPI 1861892432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1831583517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD RD STE 443",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212245",
"telephone_number": "423-756-2268",
"fax_number": "423-266-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6894 ALAMO DOWNS PKWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384535",
"telephone_number": "210-767-8004",
"fax_number": "210-767-8024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVIS MEDICAL SALES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-20",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "MATUKEWICZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "423-756-2268"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.