Midtown Gastroenterology and Liver Disease LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MIDTOWN GASTROENTEROLOGY AND LIVER DISEASE LLC

Practice address

150 N River Rd Ste 210
Des Plaines, IL 60016-1272

Phone

(847) 290-3800

Fax

(847) 290-0889

NPI assigned

Aug 22, 2024

Last updated

Aug 22, 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

Mani Mahdavian, MDNPI 1992873624

Title

Owner

Phone

(847) 290-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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 4

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.

• Mani Mahdavian, MD

  • Gastroenterology Physician
  • Des Plaines, IL
  • NPI 1992873624
  Medicare reassignment Care Compare group NPD Authorized official
• Michael J. Goldberg, MD

  • Gastroenterology Physician
  • Evanston, IL
  • NPI 1134159064
  Medicare reassignment Care Compare group NPD
• Faris M Murad, MD

  • Gastroenterology Physician
  • Winnetka, IL
  • NPI 1205970563
  Medicare reassignment Care Compare group NPD
• Shiwen Song, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo Grove, IL
  • NPI 1538396726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1326871658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-290-3800",
            "fax_number": "847-290-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 210",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-290-3800",
            "fax_number": "847-290-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN GASTROENTEROLOGY AND LIVER DISEASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHDAVIAN",
        "authorized_official_first_name": "MANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-290-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Meyer, ANP
• Sabrina Meyers
• Sanford Mark Meyers, MD
• MHS Wound Care LLC
• Michael a Mamrchesse LLC
• Midwest Advanced Radiology Center LLC
• Midwest Anesthesia and Pain Specialists, SC
• Midwest Cosmetic Institute LLC
• Midwest Digestive Health & Nutrition, PLLC
• Midwest Manual Physical Therapy PC

• Gastroenterology Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.