Midwest Express Care 4 LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDWEST EXPRESS CARE 4 LLC

Practice address

6097 Broadway
Merrillville, IN 46410-2619

Phone

(219) 758-5152

Fax

(219) 444-4396

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 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

Jennifer Baty

Title

CC Specialist Lead

Phone

(605) 789-6574

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Merrillville, IN
  • NPI 1619536067

  4284909615

  Same PAC ID
• Midwest Express Care 4 LLC

  dba Midwest Express Clinics

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1629502810

  4284909615

  Same PAC ID
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Portage, IN
  • NPI 1962249839

  4284909615

  Same PAC ID
• Midwest Express Care 4, LLC

  dba Midwest Express Clinic

  • Urgent Care Clinic/Center
  • Griffith, IN
  • NPI 1811571052

  4284909615

  Same PAC ID
• Midwest Express Care 4, LLC

  dba Midwest Express Clinic

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1912663501

  4284909615

  Same PAC ID

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

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1255178125",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102619",
            "telephone_number": "219-758-5152",
            "fax_number": "219-444-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EXPRESS CARE 4 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BATY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CC SPECIALIST LEAD",
        "authorized_official_telephone_number": "605-789-6574"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michalski
• Dawn Michaux James
• Erin Mickey, BS
• Mid-America Psychological & Counseling Service P.C.
• Leyna Midkiff
• Midwest Express Care 4 LLC
• Midwest Hospitalists Group, Inc.
• Midwest Infectious Diseases Associates LLC
• Natalie Elizabeth Mieras, CRNA
• David Anthony Miles, CRNA

• Urgent Care Clinic/Center in Merrillville, IN
• Providers in Merrillville, 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 Jul 9, 2024; 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.