Active NPI
Darah Medical Equipment and Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
National Provider Identifier
1972036481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DARAH MEDICAL EQUIPMENT AND SUPPLIES LLC
- Practice address
- 4206 Flagstaff CV
Fort Wayne, IN 46815-4417 - Phone
- (844) 327-5622
- NPI assigned
- Apr 11, 2017
- Last updated
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Darah
- Title
- Ceo
- Phone
- (844) 552-7867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4206 Flagstaff CV
Fort Wayne, IN 46815-4417
Mailing address
9037 Stellhorn Crossing Pkwy
Fort Wayne, IN 46815-5860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | orders@darahmedical.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170908000305 | IN | DME Supplier - Medical Supply Company | 7810190063 | Practice locations: Fort Wayne, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Darah Medical Equipment and Supplie | Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4206 Flagstaff Cv
Fort Wayne, IN 46815
Phone (844) 327-5622
6465 Wheatstone Ct
Ste A
Maumee, OH 43537
Phone (844) 552-7867
1013 Starr Ave
Toledo, OH 43605
Phone (419) 697-5456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1972036481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9037 STELLHORN CROSSING PKWY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4206 FLAGSTAFF CV",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154417",
"telephone_number": "844-327-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARAH MEDICAL EQUIPMENT AND SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "DARAH",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "844-552-7867"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "orders@darahmedical.com",
"affiliation": "N",
"address_1": "4206 Flagstaff Cv",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468154417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.