Active NPI
Metro East Healthcare Limited
- Family Medicine Physician
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-117061
- Legal business name
- METRO EAST HEALTHCARE LIMITED
- Practice address
- 2133 Vadalabene Dr Ste 5B
Maryville, IL 62062-5839 - Phone
- (618) 288-7605
- Fax
- (618) 288-7644
- NPI assigned
- Jan 19, 2007
- Last updated
- Jul 21, 2022
- 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
- Haresh K. Motwani, MD
- Title
- Owner
- Phone
- (618) 288-7605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-117061 | IL | Primary |
Addresses
Primary practice location
2133 Vadalabene Dr Ste 5B
Maryville, IL 62062-5839
Mailing address
PO Box 866
Edwardsville, IL 62025-0866
Phone (618) 288-7605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1063723 | Metro East Healthcare LTD | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
101 Evergreen Ln
Apt 202
Glen Carbon, IL 62034
Phone (618) 205-2200
2133 Vadalabene Dr
Ste 5B
Maryville, IL 62062
Phone (618) 288-7605
6810 State Route 162
Ste 2
Maryville, IL 62062
Phone (618) 288-7605
6810 State Route 162
Ste 207
Maryville, IL 62062
Phone (618) 288-7605
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Family Medicine Physician
- Maryville, IL
- NPI 1598841025
-
- Family Nurse Practitioner
- Maryville, IL
- NPI 1619442555
-
- Adult Health Nurse Practitioner
- Highland, IL
- NPI 1699362020
-
- Nurse Practitioner
- Maryville, IL
- NPI 1013397967
-
- Family Nurse Practitioner
- Belleville, IL
- NPI 1821210287
-
- Family Nurse Practitioner
- Maryville, IL
- NPI 1497424766
-
- Nurse Practitioner
- Belleville, IL
- NPI 1366192908
-
- Family Nurse Practitioner
- Alton, IL
- NPI 1376809525
-
- Family Nurse Practitioner
- Belleville, IL
- NPI 1588057848
-
- Gerontology Nurse Practitioner
- Janesville, WI
- NPI 1184212128
IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1083767479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 866",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620250866",
"telephone_number": "618-288-7605",
"fax_number": "618-288-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 VADALABENE DR STE 5B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625839",
"telephone_number": "618-288-7605",
"fax_number": "618-288-7644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO EAST HEALTHCARE LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MOTWANI",
"authorized_official_first_name": "HARESH",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-288-7605",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-117061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
- Jaime Renee Mendoza, PMHNP
- Mercy Clinic Specialists Services-Illinois LLC
- Mercy Clinic Surgical Specialists-Illinois LLC
- Heather Rae Merkle, LCPC
- Natalie Messina
- Metro East Medical Transport, Inc
- Sunny Mickey, RN
- Christina L Midkiff, M.D.
- Midwest Acute Care Consultants PC
- Midwest Emergency Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.