Medisource Supply Inc
NPI 1689412520 · Durable Medical Equipment & Medical Supplies · Austin, TX
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medisource Supply Inc is a Durable Medical Equipment & Medical Supplies organization in Austin, TX (NPI 1689412520).
Provider details
- NPI number
- 1689412520
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Khalil Shafiq, Authorized Official(512) 375-4141
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
- 2024-07-16
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Frequently asked questions
- What is Medisource Supply Inc's NPI number?
- Medisource Supply Inc's National Provider Identifier (NPI) is 1689412520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medisource Supply Inc?
- Medisource Supply Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Medisource Supply Inc located?
- Medisource Supply Inc's practice location on file with NPPES is 7703 N Lamar Blvd Ste 128, Austin, TX 78752-1003.
- What is Medisource Supply Inc's phone number?
- The practice phone number listed in the NPPES registry for Medisource Supply Inc is (512) 375-4141.
- Does Medisource Supply Inc accept Medicare?
- Medisource 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 Medisource Supply Inc?
- The authorized official listed on Medisource Supply Inc's NPPES record is Khalil Shafiq, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medisource Supply Inc's NPI active?
- Yes — Medisource Supply Inc's NPI (1689412520) is active in the NPPES registry as of the last update on 2024-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.