AA MEDICAL – Oxygen Equipment & Supplies (DME), NPI 1669449930

AA MEDICAL is a healthcare provider. based in Las vegas, Nevada. specializing in Oxygen Equipment & Supplies (DME). The organization holds a License No. 412243425 (NV). The NPI Number for AA MEDICAL is 1669449930

Main info

Organization
Name
AA MEDICAL
NPI
1669449930
Phone
(702) 368-4477
Address
4135 N RANCHO DR STE 100
Authorized Official
WENDY RUSSALESI CCO
Enumeration Date
3 March 2006
Last Update Date
12 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for AA MEDICAL

  • 4135 N RANCHO DR STE 100

    LAS VEGAS, NV 891303494

    Phone: (702) 368-4477

    Fax: (702) 368-3543

    Type: Location

  • 555 E NORTH LN STE 5075

    CONSHOHOCKEN, PA 194282490

    Phone:

    Type: Mailing

  • 250, West Germantown Pike, Plymouth Meeting Mall, Hickorytown, Plymouth Township, Montgomery County, Pennsylvania, 19462, United States

    PLYMOUTH MEETING, PA 194621437

    Phone: (610) 630-6357

    Type: Mailing

  • 4135 N RANCHO DR STE 110

    LAS VEGAS, NV 891303494

    Phone: (702) 368-4477

    Fax: (702) 368-3543

    Type: Location

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)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (190 days ago).

Enrollment records

1

Earliest due date

2025-11-30

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
O20100930033827OMedical Supply Company With Respiratory TherapistNV2025-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 89130)

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Reviews

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Frequently asked questions

Does AA MEDICAL have a public NPI I can cite?
Public records show AA MEDICAL under NPI 1669449930.
Quick check: is AA MEDICAL active?
Public NPPES data shows AA MEDICAL with an active NPI status right now.
What does the directory say AA MEDICAL does?
Insurance directories may phrase it differently, but here AA MEDICAL maps to Oxygen Equipment & Supplies (DME). Clinical services aligned with this taxonomy classification.
Is AA MEDICAL tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, AA MEDICAL may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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