Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

042-006737 Issued in IL

Legal business name

MIDWEST SPORTS MEDICINE & ORTHOPAEDIC SURGICAL SPECIALISTS, LTD.

Practice address

901 Biesterfield Rd
Suite 300
Elk Grove Village, IL 60007-3392

Phone

(847) 437-9889

Fax

(847) 437-4149

NPI assigned

Jul 26, 2005

Last updated

Jun 26, 2024By 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

Ms. Eugene Lopez, MDNPI 1467452300

Title

President

Phone

(847) 437-9889

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: bmontella@mwsmortho.exscribedirect.com
• Direct secure messaging: elopez@mwsmortho.exscribedirect.com
• Direct secure messaging: mmorrell@mwsmortho.exscribedirect.com
• Direct secure messaging: sodell@mwsmortho.exscribedirect.com

Practitioners 15

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.

• Eugene P Lopez, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1467452300
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly A. McCormack, DPT

  • Physical Therapist
  • Roselle, IL
  • NPI 1346639820
  Medicare reassignment Care Compare group NPD
• Bruce J Montella, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Elk Grove Village, IL
  • NPI 1134129091
  Medicare reassignment Care Compare group NPD
• Mary K Morrell, M.D.

  • Orthopaedic Trauma Physician
  • Elk Grove Village, IL
  • NPI 1467452318
  Medicare reassignment Care Compare group NPD
• Sean Daniel Odell, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1518981612
  Medicare reassignment Care Compare group NPD
• Brian Floyd Trembly, PT

  • Physical Therapist
  • Roselle, IL
  • NPI 1346392008
  Medicare reassignment Care Compare group NPD
• Loren Versheldon, PA

  • Physician Assistant
  • Elk Grove Village, IL
  • NPI 1831906031
  Medicare reassignment Care Compare group NPD
• Thomas A McNally, MD

  • Orthopaedic Surgery Physician
  • Elk Grove Village, IL
  • NPI 1306857727
  Medicare reassignment Care Compare group
• Ross Matthew Robarts, PA-C

  • Physician Assistant
  • Elk Grove Village, IL
  • NPI 1063705572
  Medicare reassignment Care Compare group
• Joseph Tayani

  • Student in an Organized Health Care Education/Training Program
  • Oak Park, IL
  • NPI 1538639398
  Medicare reassignment Care Compare group
• William J Hiatt, PA-C

  • Physician Assistant
  • Morton Grove, IL
  • NPI 1659981694
  Medicare reassignment
• Meghan Elizabeth Hoppes, PA-C

  • Surgical Physician Assistant
  • Chicago, IL
  • NPI 1891129557
  Medicare reassignment

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1144220724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-437-9889",
            "fax_number": "847-437-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORTS MEDICINE & ORTHOPAEDIC SURGICAL SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-437-9889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "042-006737",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "31603457",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Pain Centers, Inc.
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• Midwest Sports Medicine & Orthopedic Surgical Specialist LTD (Open MRI Imaging Specialists, LLC)
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• Midwest Sports Medicine & Orthopedic Surgical Specialists, LTD
• Sarah Mihalov, MD
• Christine Miller, OTR/L

• Sports Medicine (Orthopaedic Surgery) Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.