Innovative Medical Supply, LLC
NPI 1679570121 · Durable Medical Equipment & Medical Supplies · Moore, OK
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies organization in Moore, OK (NPI 1679570121).
Provider details
- NPI number
- 1679570121
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Brian Berry, Member(405) 799-8855
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
Other names (DBA / former)
- Doing business as
- Imed Supply
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Innovative Medical Supply, LLC's NPI number?
- Innovative Medical Supply, LLC's National Provider Identifier (NPI) is 1679570121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medical Supply, LLC?
- Innovative Medical Supply, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Innovative Medical Supply, LLC located?
- Innovative Medical Supply, LLC's practice location on file with NPPES is 1501 Se 4th St, Moore, OK 73160-8231.
- What is Innovative Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medical Supply, LLC is (405) 799-8855.
- Does Innovative Medical Supply, LLC accept Medicare?
- Innovative Medical Supply, 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 Innovative Medical Supply, LLC?
- The authorized official listed on Innovative Medical Supply, LLC's NPPES record is Brian Berry, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medical Supply, LLC's NPI active?
- Yes — Innovative Medical Supply, LLC's NPI (1679570121) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.