Duramed, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DURAMED, INC

Practice address

4373 Park Ten Dr
Diamondhead, MS 39525-3212

Phone

(228) 333-9231

NPI assigned

Aug 23, 2022

Organization subpart

Yes

Parent organization

DURAMED, INCAs reported in NPPES

Name

Ricky Walter Decastro Sr.

Title

Owner/President

Phone

(504) 467-4057

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Duramed Inc

  • Oxygen Equipment & Supplies (DME)
  • Hammond, LA
  • NPI 1609347970

  5496875999

  Same PAC ID
• Duramed, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Kenner, LA
  • NPI 1710923255

  5496875999

  Same PAC ID

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

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Duramed Inc8 organizations share this tax ID, including this one

Part of

Duramed Inc

Other organizations with this tax ID 7

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

• Duramed Inc

  • Durable Medical Equipment & Medical Supplies
  • Kenner, LA
  • NPI 1225460934
  NPD tax ID
• Duramed Inc

  • Oxygen Equipment & Supplies (DME)
  • Hammond, LA
  • NPI 1609347970
  NPD tax ID
• Duramed, Inc

  • Durable Medical Equipment & Medical Supplies
  • New Orleans, LA
  • NPI 1265149991
  NPD tax ID
• Duramed, Inc

  • Oxygen Equipment & Supplies (DME)
  • Baton Rouge, LA
  • NPI 1487184990
  NPD tax ID
• Duramed, Inc

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1578800157
  NPD tax ID
• Duramed, Inc

  • Durable Medical Equipment & Medical Supplies
  • Slidell, LA
  • NPI 1770363459
  NPD tax ID
• Duramed, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Kenner, LA
  • NPI 1710923255
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2022.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1942929138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 24TH ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700625268",
            "telephone_number": "504-467-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 PARK TEN DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253212",
            "telephone_number": "228-333-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMED, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DURAMED, INC",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "DECASTRO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "504-467-4057",
        "authorized_official_name_suffix": "Sr."
    },
    "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": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamondhead Medicine, LLC
• Diamondhead Pharmacy & Gifts, Inc
• Diamondhead Urgent Care
• Tracy Rene Diercks, DPT, PT
• Duncan F Matheson III DDS PA
• Angela Dysangco
• James W Embry, NP
• Encore Rehabailitation
• Encore Rehabilitation Inc
• Casey Michael Favre, NP-C

• All providers in Diamondhead, MS
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.