Organization Active NPI

Ims Experts, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, TX
National Provider Identifier
1972697068
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0099159 Issued in TX
Legal business name
IMS EXPERTS, LLC
Doing business as
IMS Experts, LLC
Practice address
1696 Country Club Drvie
Mansfield, TX 76063-2625
Phone
(817) 453-9767
Fax
(817) 473-1839
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Kimberly Welch
Title
Owner
Phone
(817) 453-9767

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X 0099159 TX Primary

Addresses

Primary practice location

1696 Country Club Drvie
Mansfield, TX 76063-2625

Mailing address

1696 Country Club Drvie
Mansfield, TX 76063-2625
Phone (817) 453-9767

Other identifiers 6

IdentifierTypeStateIssuer
105834200OtherUSDL
0000531616OtherTXBLUE CROSS BLUE SHIELD
555583OtherPMSI
4335910OtherTXCIGNA
0007815506OtherTXAETNA
2843070-01MedicaidTX

Other names 2

  • IMS Experts, LLC Doing business as
  • Innovative Medical Solutions Experts Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930082955 TX DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-Prosthetic 0749483428 Practice locations: Mansfield, 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
Innovative Medical Solutions Expert1696 Country Club Dr, Mansfield, TX 76063-2625(817) 453-9767 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion P… Accepts assignmentParticipating since Nov 27, 2018

National Provider Directory

National Provider Directory

Locations

1696 Country Club Dr
Mansfield, TX 76063
Phone (817) 453-9767

120 N Main St
Mansfield, TX 76063
Phone (817) 453-9767

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1972697068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 COUNTRY CLUB DRVIE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632625",
            "telephone_number": "817-453-9767",
            "fax_number": "817-473-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 COUNTRY CLUB DRVIE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632625",
            "telephone_number": "817-453-9767",
            "fax_number": "817-473-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS EXPERTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-453-9767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0099159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL",
            "identifier": "105834200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000531616",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMSI",
            "identifier": "555583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4335910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007815506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843070-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMS Experts, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Medical Solutions Experts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.