State Medical Supply Provider, Inc
NPI 1720290281 · Durable Medical Equipment & Medical Supplies · Saint Louis, MO
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State Medical Supply Provider, Inc is a Durable Medical Equipment & Medical Supplies organization in Saint Louis, MO (NPI 1720290281).
Provider details
- NPI number
- 1720290281
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- David Senderovich, Pesident(314) 426-5903
- License
- 17769558 (MO)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-05-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is State Medical Supply Provider, Inc's NPI number?
- State Medical Supply Provider, Inc's National Provider Identifier (NPI) is 1720290281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State Medical Supply Provider, Inc?
- State Medical Supply Provider, Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is State Medical Supply Provider, Inc located?
- State Medical Supply Provider, Inc's practice location on file with NPPES is 9109 Lackland Rd, Saint Louis, MO 63114-5410.
- What is State Medical Supply Provider, Inc's phone number?
- The practice phone number listed in the NPPES registry for State Medical Supply Provider, Inc is (314) 426-5903.
- Does State Medical Supply Provider, Inc accept Medicare?
- State Medical Supply Provider, 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 State Medical Supply Provider, Inc?
- The authorized official listed on State Medical Supply Provider, Inc's NPPES record is David Senderovich, Pesident. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State Medical Supply Provider, Inc's NPI active?
- Yes — State Medical Supply Provider, Inc's NPI (1720290281) 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.