Organization Active NPI

Midwest Endocrinology & Diabetes Care Center

  • Endocrinology, Diabetes & Metabolism Physician
  • McHenry, IL
National Provider Identifier
1497953889
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MIDWEST ENDOCRINOLOGY & DIABETES CARE CENTER
Practice address
633 Ridgeview Dr
McHenry, IL 60050-7012
Phone
(815) 363-6160
Fax
(815) 363-6168
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Hiralal G Maheshwari, M.D., PHDNPI 1740238757
Title
President
Phone
(815) 363-6160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X IL Primary

Addresses

Primary practice location

633 Ridgeview Dr
McHenry, IL 60050-7012

Mailing address

633 Ridgeview Dr
McHenry, IL 60050-7012
Phone (815) 363-6160

Other identifiers 1

IdentifierTypeStateIssuer
5632240MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1497953889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 RIDGEVIEW DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507012",
            "telephone_number": "815-363-6160",
            "fax_number": "815-363-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 RIDGEVIEW DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507012",
            "telephone_number": "815-363-6160",
            "fax_number": "815-363-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ENDOCRINOLOGY & DIABETES CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MAHESHWARI",
        "authorized_official_first_name": "HIRALAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "18153636160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5632240",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.