MEDICARE: KCI USA INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619965761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KCI USA INC.

Provider Business Mailing Address
First Line	:	6103 FARINON DR
Second Line	:	ATTN HCC
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5762 WESTBOURNE AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213
Country	:	US
Telephone Number	:	614-866-3198
Fax Number	:

Authorized Official
Title or Position	:	VP, MEDICARE ENROLLMENT
Name	:	ROSA GOMEZ
Credential	:
Telephone Number	:	830-292-1612

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	02/25/2026

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Directions to “KCI USA INC. ” Practice Location

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