STATE MEDICAL SUPPLY PROVIDER, INC
NPI 1720290281
Durable Medical Equipment & Medical Supplies in Saint Louis, MO

Q: What is State Medical Supply Provider, Inc's NPI number?

The NPI number for State Medical Supply Provider, Inc is 1720290281. It was assigned to this organization in the NPPES registry on May 4, 2007.

Q: What is State Medical Supply Provider, Inc's specialty?

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

Active since May 04, 2007

9109 LACKLAND RD, SAINT LOUIS, MO 63114(314) 426-5903(314) 890-2110 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About State Medical Supply Provider, Inc NPPES

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

STATE MEDICAL SUPPLY PROVIDER, INC (NPI 1720290281) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization lists David Senderovich, Pesident, as its authorized official.

NPPES Registry Identity

NPI1720290281

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSTATE MEDICAL SUPPLY PROVIDER, INC

Location Address9109 LACKLAND RDSaint Louis, MO 63114-5410

Mailing Address9109 Lackland RdSaint Louis, MO 63114-5410 · (314) 426-5903 · Fax (314) 890-2110

Phone(314) 426-5903

Fax(314) 890-2110

Organization SubpartNo

Authorized OfficialDavid SenderovichPesident · (314) 426-5903

Enumeration DateMay 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720290281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in MO · 17769558

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.

9109 LACKLAND RD, Saint Louis, MO 63114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 24

Medicare supplier enrollment and the product categories State Medical Supply Provider Inc carries, from the Medicare DMEPOS supplier directory.

State Medical Supply Provider Inc

DMEPOS supplier · Saint Louis, MO

✔

Accepts Medicare assignment

State Medical Supply Provider Inc 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)20614151

Medicare Participant SinceJuly 25, 2001

Supplier Location9109 Lackland RdSaint Louis, MO 63114

Phone(314) 426-5903

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Osteogenesis Stimulators

Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators

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 State Medical Supply Provider, Inc's NPI number?

The NPI number for State Medical Supply Provider, Inc is 1720290281. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is State Medical Supply Provider, Inc located?

State Medical Supply Provider, Inc is located at 9109 Lackland Rd, Saint Louis, MO 63114. The listed phone number is (314) 426-5903.

What is State Medical Supply Provider, Inc's specialty?

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

Does State Medical Supply Provider, Inc accept Medicare assignment for medical equipment?

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

What insurance does State Medical Supply Provider, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list State Medical Supply Provider, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Medical Supply Provider, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.