Organization Active NPI

Darah Medical Equipment and Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1972036481
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL orders@darahmedical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908000305 IN DME Supplier - Medical Supply Company 7810190063 Practice locations: Fort Wayne, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Darah Medical Equipment and Supplie4206 Flagstaff CV, Fort Wayne, IN 46815-4417(844) 327-5622 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 assignmentParticipating since Jan 1, 2011

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.