ELLIS HOME OXYGEN AND MEDICAL EQUIPMENT — NPI 1154452555 (Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in PULASKI, VA)

CMS-1500 Box 24J / 33a • NPI

1154452555

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

332BX2000X (CMS B1)

Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

Box 32 Service Location & ZIP+4

2460 LEE HWY, SUITE 7, PULASKI, VA, 24301

Official NPPES Practice Location

Practice Phone & Referral Fax

(540) 980-9551

Fax: (540) 980-9553

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1154452555 (ELLIS HOME OXYGEN AND MEDICAL EQUIPMENT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1154452555` (NPI-2 Organization / Facility)
Provider / Legal Name	ELLIS HOME OXYGEN AND MEDICAL EQUIPMENT
Plain-English Specialty	Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies NUCC Code: `332BX2000X` (Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2460 LEE HWY, SUITE 7, PULASKI, VA, 24301
Practice Telephone / Fax	Tel: (540) 980-9551 \| Fax: (540) 980-9553
Administrative Mailing Address	925 N MAIN ST, MARION, VA, 24354-4117
Enumeration & Last Sync	Enumerated: 2007-03-08 \| CMS Record Updated: 2020-08-22
Authorized Official	ANTHONY ELLIS (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2460 LEE HWY, SUITE 7, PULASKI, VA, 24301

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Plain-English Taxonomy & CMS Crosswalk (332BX2000X)

What Does Taxonomy Code 332BX2000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332BX2000X translates to:
"Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B1 (Oxygen supplier)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELLIS HOME OXYGEN AND MEDICAL EQUIPMENT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332BX2000X` — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	State: VA \| License: `0206009243` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ELLIS HOME OXYGEN AND MEDICAL EQUIPMENT (NPI #1154452555)