Organization Active NPI

R Medical Supply Inc

  • Customized Equipment (DME)
  • Schaumburg, IL
National Provider Identifier
1962735373
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
3969-3201 Issued in IL
Legal business name
R MEDICAL SUPPLY INC
Practice address
1525 Revere Cir
Schaumburg, IL 60193-1201
Phone
(847) 483-4236
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Hemal H Rao
Title
Director
Phone
(847) 483-4236

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3969-3201 IL
Customized Equipment (DME) 332BC3200X 3969-3201 IL Primary
Nursing Facility Supplies (DME) 332BN1400X 3969-3201 IL
Oxygen Equipment & Supplies (DME) 332BX2000X 3969-3201 IL

Addresses

Primary practice location

1525 Revere Cir
Schaumburg, IL 60193-1201

Mailing address

1525 Revere Cir
Schaumburg, IL 60193-1201
Phone (847) 483-4236

Other identifiers 1

IdentifierTypeStateIssuer
3969-3201OtherILILLINOIS BUSINESS AUTHORIZATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1962735373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 REVERE CIR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931201",
            "telephone_number": "847-483-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 REVERE CIR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601931201",
            "telephone_number": "847-483-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "HEMAL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-483-4236"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "3969-3201",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "3969-3201",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "3969-3201",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "3969-3201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BUSINESS AUTHORIZATION",
            "identifier": "3969-3201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.