Midwest Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIDWEST WELLNESS LLC

Doing business as

MD Medical Weight loss and Wellness Center

Practice address

6822 E 82ND St
Suite 310
Indianapolis, IN 46250-1676

Phone

(317) 548-4666

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By 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

Dr. Srinivasu Kesa, MD

Title

President

Phone

(317) 548-4666

Specialties & licenses 2

Addresses

Other names 1

• MD Medical Weight loss and Wellness Center Doing business as

Tax ID family

MD Medical Weight Loss and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Wellness LLC

  dba MD Medical Weightloss and Wellness Centers

  • Medical Specialty Clinic/Center
  • Indianapolis, IN
  • NPI 1306222757
  NPD tax ID

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1497108468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 E 82ND ST",
            "address_2": "SUITE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501676",
            "telephone_number": "317-548-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 E 82ND ST",
            "address_2": "SUITE 310",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501676",
            "telephone_number": "317-548-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "KESA",
        "authorized_official_first_name": "SRINIVASU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-548-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Medical Weight loss and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midwest Residential Services, Inc. (Midwest Home Health Care)
• Midwest Sleep Partners LLC
• Midwest Specialty Surgery Center, LLC
• Midwest Supervision and Evaluation
• Midwest Wellness LLC (MD Medical Weightloss and Wellness Centers)
• Midwesttaxi
• Theresa Miele, MA, LMHCA
• Tamara Lee Mielock, NP-C
• Catherine Elizabeth Faig Miers, MS, CGC
• Hannah L Mies, NP

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.