MEDICUSNOVA MEDICAL LLC
NPI 1326974544
Durable Medical Equipment & Medical Supplies in Indianapolis, IN

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 23, 2026

5811 FIRE OPAL WAY, INDIANAPOLIS, IN 46239(818) 278-1789 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
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Organization
Durable Medical Equipment & Medical Supp...

About MEDICUSNOVA MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Medicusnova Medical Llc, a provider established in Indianapolis, Indiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1326974544 assigned on June 2026. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Mr. Manishreddy Vundyala Md (Md)

NPI: 1326974544 Verify this NPI
Provider Name: MEDICUSNOVA MEDICAL LLC
Entity Type: Organization
Location Address: 5811 FIRE OPAL WAY INDIANAPOLIS, IN 46239
Location Phone: (818) 278-1789
Mailing Address: 5811 FIRE OPAL WAY INDIANAPOLIS, IN 46239
Mailing Phone: (818) 278-1789
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-23-2026
Last Update Date: 06-23-2026
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. MANISHREDDY VUNDYALA MD
Authorized Official Title: MD
Authorized Official Phone: (818) 278-1789