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ICARUS MEDICAL, LLC.
NPI 1205459864
Durable Medical Equipment & Medical Supplies in Charlottesville, VA

Active since May 18, 2020
609 E MARKET ST STE 114, CHARLOTTESVILLE, VA 22902(434) 242-0258(434) 270-7278 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2024, Aug 10, 2020, Jul 30, 2020 and 2 more (5 updates tracked since 2020).

About Icarus Medical, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICARUS MEDICAL, LLC. (NPI 1205459864) is a healthcare organization registered as a durable medical equipment & medical supplies in Charlottesville, Virginia and active in the NPI registry since May 2020. The organization lists David T Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205459864
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameICARUS MEDICAL, LLC.
Location Address609 E MARKET ST STE 114Charlottesville, VA 22902-5305
Mailing Address609 E Market St Ste 114Charlottesville, VA 22902-5305 · (888) 492-1101 · Fax (434) 270-7278
Phone(434) 242-0258
Fax(434) 270-7278
Organization SubpartNo
Authorized OfficialDavid T JohnsonCeo · (434) 242-0258
Enumeration DateMay 18, 2020
Last NPPES UpdateMay 1, 20245 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1205459864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
609 E MARKET ST STE 114, Charlottesville, VA 22902
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Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Icarus Medical LLC carries, from the Medicare DMEPOS supplier directory.

Icarus Medical LLC

DMEPOS supplier · Charlottesville, VA
✔

Accepts Medicare assignment

Icarus Medical LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405657
Medicare Participant SinceJune 6, 2021
Supplier Location609 East Market St Ste 114Charlottesville, VA 22902
Phone(888) 492-1101
Supplier Specialties
MSC With Orthotic-Prosthetic

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icarus Medical, LLC.'s NPI number?

The NPI number for Icarus Medical, LLC. is 1205459864. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Icarus Medical, LLC. located?

Icarus Medical, LLC. is located at 609 E Market St Ste 114, Charlottesville, VA 22902. The listed phone number is (434) 242-0258.

What is Icarus Medical, LLC.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Icarus Medical, LLC. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Icarus Medical LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Icarus Medical, LLC. was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.