Prime Medical Outlet LLC
NPI 1043029887 · Durable Medical Equipment & Medical Supplies · Tahlequah, OK
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Medical Outlet LLC is a Durable Medical Equipment & Medical Supplies organization in Tahlequah, OK (NPI 1043029887).
Provider details
- NPI number
- 1043029887
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Zaveen Tatari, Owner(240) 708-2081
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2026-03-07
- Certified
- 2026-03-07
Frequently asked questions
- What is Prime Medical Outlet LLC's NPI number?
- Prime Medical Outlet LLC's National Provider Identifier (NPI) is 1043029887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Medical Outlet LLC?
- Prime Medical Outlet LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Prime Medical Outlet LLC located?
- Prime Medical Outlet LLC's practice location on file with NPPES is 1005 S Muskogee Ave, Tahlequah, OK 74464-4733.
- What is Prime Medical Outlet LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Medical Outlet LLC is (240) 708-2081.
- Does Prime Medical Outlet LLC accept Medicare?
- Prime Medical Outlet LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Medical Outlet LLC?
- The authorized official listed on Prime Medical Outlet LLC's NPPES record is Zaveen Tatari, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Medical Outlet LLC's NPI active?
- Yes — Prime Medical Outlet LLC's NPI (1043029887) is active in the NPPES registry as of the last update on 2026-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.