Midwest Express Care 4, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDWEST EXPRESS CARE 4, LLC

Practice address

6131 US Highway 6 Ste C
Portage, IN 46368-5058

Phone

(219) 841-9788

Fax

(219) 254-2364

NPI assigned

Oct 28, 2020

Organization subpart

Yes

Parent organization

MIDWEST EXPRESS CARE 4, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Milap Shah

Title

Owner

Phone

(219) 802-8800

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Part of

Midwest Express Care 4 LLC

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1154921294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775342",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775342",
            "telephone_number": "219-841-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 US HIGHWAY 6 STE C",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685058",
            "telephone_number": "219-841-9788",
            "fax_number": "219-254-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 4, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST EXPRESS CARE 4, LLC",
        "enumeration_date": "2020-10-28",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MILAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-802-8800"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Miceli, DO
• Bethany Michielsen, FNP-C
• Michigan City Family Dentistry
• John Steven Midmore, MD
• Midwest Express Care 4 LLC
• Miller'S Health Systems, Inc.
• Baqhar Mohideen, MD
• Jennifer Eunice Mola
• Molly Foley Shannon LLC
• Nicole Monahan, PTA

• Urgent Care Clinic/Center in Portage, IN
• Providers in Portage, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.