Mids, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MIDS, LLC

Doing business as

Michiana Infectious Disease Specialists

Practice address

3838 N Main St Ste 1C
Mishawaka, IN 46545-3100

Phone

(574) 404-3980

Fax

(574) 931-8601

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDS, LLCAs reported in NPPES

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

Authorized official

Name

Lloyd Schulman

Title

Office Manager

Phone

(574) 286-6802

Specialties & licenses 2

Addresses

Other names 1

• Michiana Infectious Disease Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Mids LLC

Locations

Practitioners 1

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.

• Aerie Chung, MD

  • Infectious Disease Physician
  • Mishawaka, IN
  • NPI 1992960850

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1366097016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N MAIN ST STE 1C",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453100",
            "telephone_number": "574-404-3980",
            "fax_number": "574-931-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N MAIN ST STE 1C",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453100",
            "telephone_number": "574-404-3980",
            "fax_number": "574-931-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDS, LLC",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-286-6802"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michiana Infectious Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infectious Disease Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Infectious Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.