Organization Active NPI

Medekan Online Services

  • Durable Medical Equipment & Medical Supplies
  • Pearland, TX
National Provider Identifier
1891558672
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDEKAN ONLINE SERVICES
Practice address
2743 Smith Ranch Rd Ste 902a
Pearland, TX 77584-5217
Phone
(346) 582-8336
Fax
(713) 583-7836
NPI assigned
Feb 5, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Miriam Udokah
Title
Owner
Phone
(346) 582-8336

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Custodial Care Facility 311Z00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU
Physical Disabilities Residential Treatment Facility 320700000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2743 Smith Ranch Rd Ste 902a
Pearland, TX 77584-5217

Mailing address

1853 Pearland Pkwy Ste 123-1145
Pearland, TX 77581-5296
Phone (346) 582-8336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@medekanonlineservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029002688 TX DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4183157142 Practice locations: Pearland, TX

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

SupplierSuppliesMedicare assignment
Medekan Online Services2743 Smith Ranch Rd, Pearland, TX 77584-5217(346) 582-8336 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems an… Accepts assignmentParticipating since Aug 25, 2024

National Provider Directory

National Provider Directory

Locations

1853 Pearland Pkwy
Ste 1231145
Pearland, TX 77581

2743 Smith Ranch Rd
Ste 902A
Pearland, TX 77584
Phone (346) 582-8336

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1891558672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 PEARLAND PKWY STE 123-1145",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815296",
            "telephone_number": "346-582-8336",
            "fax_number": "713-583-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 SMITH RANCH RD STE 902A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845217",
            "telephone_number": "346-582-8336",
            "fax_number": "713-583-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEKAN ONLINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "UDOKAH",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-582-8336"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@medekanonlineservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2743 Smith Ranch Rd Ste 902A",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775845217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.