J Q MEDICAL SUPPLY, LLC – Durable Medical Equipment & Medical Supplies, NPI 1619960663
Durable Medical Equipment & Medical Supplies
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for J Q MEDICAL SUPPLY, LLC
PO BOX 711637
SALT LAKE CITY, UT 841711637
Phone: (801) 942-8582
Fax: (801) 942-8069
Type: Mailing
6910 S HIGHLAND DR STE 4
SALT LAKE CITY, UT 841213087
Phone: (800) 231-6820
Fax: (801) 880-3634
Type: Location
6910, Highland Drive, Cottonwood Heights, Salt Lake County, Utah, 84121, United States
SUITE 4
COTTONWOOD HEIGHTS, UT 841213060
Phone: (801) 942-8582
Fax: (801) 942-8069
Type: Location
1225 E FORT UNION BLVD STE 310
MIDVALE, UT 840471883
Phone: (801) 942-8582
Fax: (801) 880-3634
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)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (312 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930015145 | O | Medical Supply Company | UT | 2025-07-31 |
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.
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 84171)
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