Missouri Medical Supply, Inc.
NPI 1114982790 · Durable Medical Equipment & Medical Supplies · Saint Louis, MO
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Missouri Medical Supply, Inc. is a Durable Medical Equipment & Medical Supplies organization in Saint Louis, MO (NPI 1114982790).
Provider details
- NPI number
- 1114982790
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Boris Klimenko, President(314) 997-3600
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs 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
- 2006-04-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Missouri Medical Supply, Inc.'s NPI number?
- Missouri Medical Supply, Inc.'s National Provider Identifier (NPI) is 1114982790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Missouri Medical Supply, Inc.?
- Missouri Medical Supply, Inc. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Missouri Medical Supply, Inc. located?
- Missouri Medical Supply, Inc.'s practice location on file with NPPES is 8523 Olive Blvd, Saint Louis, MO 63132-2817.
- What is Missouri Medical Supply, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Missouri Medical Supply, Inc. is (314) 997-3600.
- Does Missouri Medical Supply, Inc. accept Medicare?
- Missouri Medical Supply, Inc. 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 Missouri Medical Supply, Inc.?
- The authorized official listed on Missouri Medical Supply, Inc.'s NPPES record is Boris Klimenko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Missouri Medical Supply, Inc.'s NPI active?
- Yes — Missouri Medical Supply, Inc.'s NPI (1114982790) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.