Midwest Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7003127 Issued in IL

Legal business name

MIDWEST ENDOSCOPY CENTER LLC

Practice address

1243 Rickert Dr
Naperville, IL 60540-0954

Phone

(630) 527-6450

Fax

(630) 527-6456

NPI assigned

Apr 27, 2007

Last updated

Sep 2, 2008By 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

Dinesh Jain, M.D.NPI 1003857103

Title

President

Phone

(630) 527-6450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Midwest Endoscopy Center LLCCCN 14C0001134

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Dinesh Jain, M.D.

  • Gastroenterology Physician
  • Naperville, IL
  • NPI 1003857103
  Authorized official Same address or phone
• Darren A Kastin, M.D.

  • Gastroenterology Physician
  • Naperville, IL
  • NPI 1164402244
  NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1003036310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 RICKERT DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400954",
            "telephone_number": "630-527-6450",
            "fax_number": "630-527-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DINESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-6450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwest Integrated Healthcare, S.C.
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• Midwest Orthopaedics at Rush, LLC (Midwest Orthopaedics at Rush)
• Midwest Radiologist, SC

• Ambulatory Surgical Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.