Medsource, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20176001145 Issued in CO

Legal business name

MEDSOURCE, LLC

Practice address

75 Printers Pkwy Ste 120
Colorado Springs, CO 80910-3109

Phone

(719) 375-3299

NPI assigned

Nov 27, 2017

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Rohde

Title

Owner/Managing Partner

Phone

(309) 664-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IL
  • NPI 1093892044

  3072726967

  Same PAC ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Hales Corners, WI
  • NPI 1275847725

  3072726967

  Same PAC ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1376743922

  3072726967

  Same PAC ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Des Plaines, IL
  • NPI 1730354531

  3072726967

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Medsource LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IL
  • NPI 1093892044
  NPD tax ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Hales Corners, WI
  • NPI 1275847725
  NPD tax ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1376743922
  NPD tax ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Lomita, CA
  • NPI 1669795415
  NPD tax ID
• Medsource LLC

  • Durable Medical Equipment & Medical Supplies
  • Des Plaines, IL
  • NPI 1730354531
  NPD tax ID
• Medsource, LLC.

  • Durable Medical Equipment & Medical Supplies
  • Rossville, GA
  • NPI 1316207590
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie J Gallivan

  • Mastectomy Fitter
  • Bloomington, IL
  • NPI 1962257642
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1801300058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617021248",
            "telephone_number": "888-510-5100",
            "fax_number": "888-510-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103109",
            "telephone_number": "719-375-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-09-12",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "ROHDE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "309-664-7930"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "20176001145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE",
            "identifier": "20176001145",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mednow Clinics, Inc (MedNOW Clinics - Colorado Springs)
• Mednow Clinics, Inc (MedNOW Clinics - Cheyenne Mountain)
• Joe Louis Medrano Jr., LMT
• Sebastian Medrano
• Medride, LLC
• Medstar Transportation LLC
• Medsupply Solutions LLC
• Medtransit
• Barbara Meduna, M.D.
• Medvidi Health PC

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.