Organization Active NPI

KP Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Ravenna, OH
National Provider Identifier
1912714601
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KP MEDICAL SUPPLY LLC
Practice address
149 N Prospect St Ste 2
Ravenna, OH 44266-2272
Phone
(234) 243-7480
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Authorized official

Name
Mohammed Mehdi Abedi Syed
Title
Owner
Phone
(224) 341-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

149 N Prospect St Ste 2
Ravenna, OH 44266-2272

Mailing address

149 N Prospect St Ste 2
Ravenna, OH 44266-2272
Phone (234) 243-7480

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2329187KP Medical Supply LLC149 N Prospect Ste 2, Ravenna, OH 44266Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

149 N Prospect St
Ste 2
Ravenna, OH 44266
Phone (234) 243-7480

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759622400000",
    "number": "1912714601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N PROSPECT ST STE 2",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662272",
            "telephone_number": "234-243-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N PROSPECT ST STE 2",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662272",
            "telephone_number": "234-243-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "MOHAMMED MEHDI",
        "authorized_official_middle_name": "ABEDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-341-8880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.