A & A MEDICAL SUPPLY LLC – Durable Medical Equipment & Medical Supplies, NPI 1114966181

A & A MEDICAL SUPPLY LLC is a healthcare provider. based in Brooklyn park, Minnesota. specializing in Durable Medical Equipment & Medical Supplies. The NPI Number for A & A MEDICAL SUPPLY LLC is 1114966181

Main info

Organization
Name
A & A MEDICAL SUPPLY LLC
NPI
1114966181
Phone
(629) 282-8211
Address
9495 WINNETKA AVE N STE 200
Authorized Official
KILEY ANN RUSSELL SENIOR DIRECTOR OF PAYOR RELATIONS
Enumeration Date
5 June 2006
Last Update Date
17 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for A & A MEDICAL SUPPLY LLC

  • 9495 WINNETKA AVE N STE 200

    BROOKLYN PARK, MN 554451618

    Phone: (629) 282-8211

    Fax: (763) 255-3972

    Type: Mailing

  • 5875 HARPER RD

    SOLON, OH 441391832

    Phone: (440) 543-4645

    Fax: (800) 619-9009

    Type: Location

  • East Washington Street, Chagrin Falls Triangle Park Commercial Historic District, Chagrin Falls, Cuyahoga County, Ohio, 44022, United States

    CHAGRIN FALLS, OH 440234507

    Phone: (440) 543-4645

    Fax: (440) 543-1821

    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)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20100930073381OMedical Supply CompanyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 55445)

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Reviews

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Frequently asked questions

What is A & A MEDICAL SUPPLY LLC's NPI number?
A & A MEDICAL SUPPLY LLC's NPI is 1114966181 — the number used across U.S. healthcare to identify this provider.
Is there an active status for A & A MEDICAL SUPPLY LLC?
For scheduling context, A & A MEDICAL SUPPLY LLC is shown as active in the registry.
What clinical focus is listed for A & A MEDICAL SUPPLY LLC?
At a glance, A & A MEDICAL SUPPLY LLC is tied to Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
Is A & A MEDICAL SUPPLY LLC associated with Brooklyn Park?
Public fields place A & A MEDICAL SUPPLY LLC around Brooklyn Park, Minnesota. Always confirm the exact site before visiting.
Does A & A MEDICAL SUPPLY LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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