MATRIX MEDICAL LLC – Durable Medical Equipment & Medical Supplies, NPI 1386755163

MATRIX MEDICAL LLC is a healthcare provider. based in Fruitland park, Florida. specializing in Durable Medical Equipment & Medical Supplies. The organization holds a License No. 2077 (FL). The NPI Number for MATRIX MEDICAL LLC is 1386755163

Main info

Organization
Name
MATRIX MEDICAL LLC
NPI
1386755163
Phone
(352) 343-4402
Address
2468 US HIGHWAY 441/27 STE 513
Authorized Official
WENDY RUSSALESI CHIEF COMPLIANCE OFFICER
Enumeration Date
31 August 2006
Last Update Date
19 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MATRIX MEDICAL LLC

  • 2468 US HIGHWAY 441/27 STE 513

    FRUITLAND PARK, FL 347312154

    Phone: (352) 343-4402

    Fax: (800) 491-5803

    Type: Location

  • 3325, Bartlett Boulevard, 33rd Street Industrial Park, Orlando, Orange County, Florida, 32811, United States

    ORLANDO, FL 328116428

    Phone: (407) 206-0040

    Fax: (407) 206-0010

    Type: Mailing

  • 1101, Lake Harris Drive, Tavares, Lake County, Florida, 32778, United States

    TAVARES, FL 32778

    Phone: (352) 343-4402

    Fax: (352) 343-4525

    Type: Location

  • 1300 S DUNCAN DR STE 1

    TAVARES, FL 327784206

    Phone: (352) 343-4402

    Fax: (800) 491-5803

    Type: Location

  • 1300 S DUNCAN DR BLDG B

    TAVARES, FL 327784206

    Phone: (352) 343-4402

    Fax: (800) 491-5803

    Type: Location

  • 555 E NORTH LN STE 5075

    CONSHOHOCKEN, PA 194282490

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (16 days away).

Enrollment records

1

Earliest due date

2026-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930083353OMedical Supply CompanyFL2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34731)

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Reviews

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Frequently asked questions

Where can patients find MATRIX MEDICAL LLC's NPI?
You can confirm MATRIX MEDICAL LLC with NPI 1386755163; it appears in the national provider directory.
Is MATRIX MEDICAL LLC currently active in the NPI registry?
CMS-published data lists MATRIX MEDICAL LLC as an active registrant.
What field does MATRIX MEDICAL LLC work in?
You can think of MATRIX MEDICAL LLC as practicing within Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATRIX MEDICAL LLC?
The page summarizes Fruitland Park, Florida for MATRIX MEDICAL LLC; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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