PROFESSIONAL MEDICAL & SURGICAL SUPPLY, INC
NPI 1235212556
Durable Medical Equipment & Medical Supplies in New Lenox, IL
NPI Status: Active since October 23, 2006
Contact Information
1917 GARNET CT
NEW LENOX, IL
ZIP 60451
Phone: (800) 648-5190
Fax: (866) 656-6332
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PROFESSIONAL MEDICAL & SURGICAL SUPPLY, INC
This page provides the complete NPI Profile along with additional information for Professional Medical & Surgical Supply, Inc, a provider established in New Lenox, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1235212556 assigned on October 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Alan C Ferry Jr. (Coo)
- NPI
- 1235212556
- Provider Name
- PROFESSIONAL MEDICAL & SURGICAL SUPPLY, INC
- Entity Type
- Organization
- Location Address
- 1917 GARNET CT NEW LENOX, IL 60451
- Location Phone
- (800) 648-5190
- Location Fax
- (866) 656-6332
- Mailing Address
- 1917 GARNET CT NEW LENOX, IL 60451
- Mailing Phone
- (800) 648-5190
- Mailing Fax
- (866) 656-6332
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2006
- Last Update Date
- 03-09-2016
- Code Navigator
Professional Medical & Surgical Supply, Inc is a medicare supplier with PTAN 20663663 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043 | OTHER (01) | AL | HME |
| 104409276 | OTHER (01) | TN | CERTIFICATE OF REGISTRATION SALE & USE |
| 1347042 | OTHER (01) | OH | STATE OF OHIO FOREIGN BUSINESS LICENSE |
| 16-00483 | OTHER (01) | KS | DME |
| 6000007643 | OTHER (01) | PA | CERTIFICATE OF DEVICE REGISTRATION |
| 146633158A | MEDICAID (05) | GA | |
| 3143388 | MEDICAID (05) | OH | |
| 41742200 | MEDICAID (05) | WI | |
| NPI FOR MHCP | MEDICAID (05) | MN | |
| 03333653 | MEDICAID (05) | NY | |
| 100259906-00 | MEDICAID (05) | NE | |
| 203.001039 | OTHER (01) | IL | HME LICENSE |
| 69000595A | OTHER (01) | IN | HME LICENSE |
| F01075656 | OTHER (01) | MO | CERTIFICATE OF AUTHORITY |
| MG01323 | OTHER (01) | AR | SUPPLIER OF MEDICAL EQUIPMENT LICENSE |
| 7100081800 | MEDICAID (05) | KY | |
| 0241430001 | MEDICARE NSC (07) | IL | |
| 69000595A | OTHER (01) | IN | HME |
| 013081177 | MEDICAID (05) | WI | |
| =========001 | MEDICAID (05) | IL | |
| HME22862 | OTHER (01) | OH | HME |
| 102562380 | MEDICAID (05) | PA | |
| 200714550A | MEDICAID (05) | KS | |
| ME-0156417 | MEDICAID (05) | MI | |
| 3XXXX3409 FOR NY | OTHER (01) | NY | CERTIFICATE OF AUTHORITY |
| HME00240 | OTHER (01) | KY | HME |
| 1235212556 | MEDICAID (05) | GA | |
| 1235212556 FOR MO | MEDICAID (05) | MO | |
| 1235212556 FOR UT | MEDICAID (05) | UT | |
| 200819870A | MEDICAID (05) | IN | |
| 5306003914 | OTHER (01) | MI | WHOLESALER LICENSE |
| 08574/11.1 | OTHER (01) | MS | MEDICAL EQUIPMENT SUPPLIER |
| 203.001039 | OTHER (01) | IL | HME |
| NPI | MEDICAID (05) | IA | |
| 1235212556 | MEDICAID (05) | IA |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20663663
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Competitive Bidding
- NO
Supplies List
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235212556, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235212556, enumerated as an "organization" on October 23, 2006.
The provider is located at 1917 GARNET CT NEW LENOX, IL 60451 and the phone number is (800) 648-5190.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
