MD DME, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MD DME, LLC

Practice address

21222 Gathering Oak Ste 103
San Antonio, TX 78260-3101

Phone

(210) 932-8036

Fax

(888) 830-7209

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Randy Dittmar

Title

Coo

Phone

(210) 932-8036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Shriki, D.O

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1689864456
  NPD (past)

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1861198673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 GATHERING OAK STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603101",
            "telephone_number": "210-932-8036",
            "fax_number": "888-830-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21222 GATHERING OAK STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603101",
            "telephone_number": "210-932-8036",
            "fax_number": "888-830-7209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12720 Hillcrest Rd Ste 702",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302035",
            "country_code": "US",
            "telephone_number": "817-613-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MD DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "DITTMAR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-932-8036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke McVey, P.A.
• Andrea Mae McVicar
• Melissa L McVicker, PHD, LMFT
• Sara Fohn McWilliams, M.D.
• MD and MD
• MD Medco LLC
• MD Wellness PLLC
• MDCH Partners LLC
• Mdiaz Wound Care Consulting PLLC
• Mead Eye Care PLLC

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.