Midwest Primary Care and Geriatrics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDWEST PRIMARY CARE AND GERIATRICS LLC

Practice address

1440 Maple Ave Ste 4a
Lisle, IL 60532-4135

Phone

(708) 420-3169

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Nausheen AhmedNPI 1235322215

Title

Owner

Phone

(708) 420-3169

Specialties & licenses 2

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nausheen Ahmed, MD

  • Hospitalist Physician
  • Rockford, IL
  • NPI 1235322215

  Family Medicine

  Medicare reassignment NPD Authorized official
• Syed Sadiq Hassan, M.D.

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1902014962
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1356074264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 4A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324135",
            "telephone_number": "708-420-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 4A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324135",
            "telephone_number": "708-420-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PRIMARY CARE AND GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NAUSHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-420-3169"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdy H.M. Michael, D.D.S.
• Midwest Academy of Pain and Spine Inc
• Midwest Clinical Counseling Associates LLC
• Midwest Dietitian, Inc.
• Midwest Lab Services Inc
• Heather Miley, D.C.
• Miller Correctional Care Optometry PC
• Melissa Miller
• Kelly Wynne Minarick, RD, RDN, LDN
• Mindvault Health, LLC

• Family Medicine Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.