WAKE MEDICAL SUPPLY LLC
NPI 1205571643
Durable Medical Equipment & Medical Supplies in Raleigh, NC
About Wake Medical Supply Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAKE MEDICAL SUPPLY LLC (NPI 1205571643) is a healthcare organization registered as a durable medical equipment & medical supplies in Raleigh, North Carolina and active in the NPI registry since April 2022. The organization lists Lorannyi Taveraz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wake Medical Supply Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Medical Equipment Supplier Medicare DMEPOS 25
Medicare supplier enrollment and the product categories Wake Medical Supply LLC carries, from the Medicare DMEPOS supplier directory.
Wake Medical Supply LLC
DMEPOS supplier · Raleigh, NCDoes not accept Medicare assignment
Wake Medical Supply LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Wake Medical Supply LLC's NPI number?
The NPI number for Wake Medical Supply LLC is 1205571643. It was assigned to this organization in the NPPES registry on April 30, 2022.
Where is Wake Medical Supply LLC located?
Wake Medical Supply LLC is located at 6512 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615. The listed phone number is (919) 357-4555.
What is Wake Medical Supply LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Is Wake Medical Supply LLC enrolled in Medicare?
Yes. Wake Medical Supply LLC is registered in the Medicare PECOS enrollment system.
When is Wake Medical Supply LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Medical Supply Company) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Wake Medical Supply LLC accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Wake Medical Supply LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
When was this NPI record last updated?
The NPPES record for Wake Medical Supply LLC was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wake Medical Supply Llc · NPI 1205571643
Durable Medical Equipment & Medical Supplies organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since April 30, 2022.
## Identity
- **NPI:** 1205571643 (Entity type: Organization)
- **Enumerated:** April 30, 2022
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Organization subpart:** No
- **Authorized official:** Lorannyi Taveraz, PRESIDENT
## Practice location
- **Address:** 6512 FALLS OF NEUSE RD STE 110, Raleigh, NC 27615-6846
- **Phone:** (919) 357-4555 · **Fax:** (984) 202-2224
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, North Carolina, Medical Supply Company) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205571643) · Data from the CMS NPPES public registry.