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SOURCE DIRECT MEDICAL SUPPLY, INC
NPI 1952014516
Durable Medical Equipment & Medical Supplies in Merrillville, IN

Active since December 28, 2022
509 W 84TH DR STE C, MERRILLVILLE, IN 46410(219) 472-8091 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Dec 28, 2022 (2 updates tracked since 2022).

About Source Direct Medical Supply, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOURCE DIRECT MEDICAL SUPPLY, INC (NPI 1952014516) is a healthcare organization registered as a durable medical equipment & medical supplies in Merrillville, Indiana and active in the NPI registry since December 2022. The organization lists Caroline Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1952014516
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOURCE DIRECT MEDICAL SUPPLY, INC
Location Address509 W 84TH DR STE CMerrillville, IN 46410-5694
Mailing Address509 W 84th Dr Ste CMerrillville, IN 46410-5694 · (219) 472-8091
Phone(219) 472-8091
Organization SubpartNo
Authorized OfficialCaroline JacksonPresident · (219) 472-8091
Enumeration DateDecember 28, 2022
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1952014516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
509 W 84TH DR STE C, Merrillville, IN 46410
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Other Names 1

Other NameSource Direct Medical Supply, Inc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Source Direct Medical Supply, Inc's NPI number?

The NPI number for Source Direct Medical Supply, Inc is 1952014516. It was assigned to this organization in the NPPES registry on December 28, 2022.

Where is Source Direct Medical Supply, Inc located?

Source Direct Medical Supply, Inc is located at 509 W 84th Dr Ste C, Merrillville, IN 46410. The listed phone number is (219) 472-8091.

What is Source Direct Medical Supply, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Source Direct Medical Supply, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Source Direct Medical Supply, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Source Direct Medical Supply, Inc was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.