Active NPI
Midwest Medical Systems Inc
- Rheumatology Physician
- Aurora, IL
National Provider Identifier
1518064484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036-087-821
- Legal business name
- MIDWEST MEDICAL SYSTEMS INC
- Practice address
- 1177 N Highland Ave
Suite 201
Aurora, IL 60506-2281 - Phone
- (630) 801-7505
- Fax
- (630) 801-7511
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gowhar Khan, MD
- Title
- President
- Phone
- (630) 802-8644
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070-002-882 | IL | |
| Family Medicine Physician | 207Q00000X | 036111540 | IL | |
| Internal Medicine Physician | 207R00000X | 036-087-821 | IL | |
| Rheumatology Physician | 207RR0500X | 036-087-821 | IL | Primary |
Addresses
Primary practice location
1177 N Highland Ave
Suite 201
Aurora, IL 60506-2281
Mailing address
2309 Bilter Rd
Aurora, IL 60502-8714
Phone (630) 428-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087821 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Willowbrook, IL
- NPI 1508898362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649635200000",
"number": "1518064484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 BILTER RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605028714",
"telephone_number": "630-428-3600",
"fax_number": "630-428-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N HIGHLAND AVE",
"address_2": "SUITE 201",
"city": "AURORA",
"state": "IL",
"postal_code": "605062281",
"telephone_number": "630-801-7505",
"fax_number": "630-801-7511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MEDICAL SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "GOWHAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-802-8644",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "070-002-882",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036111540",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-087-821",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036-087-821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087821",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
- Midwest Dressing Supply Corp
- Midwest Express Care 2, Inc
- Midwest Healthcare Associates Inc (American Home Health)
- Midwest Hearing Health
- Midwest Institute of Arthritis and Medicine
- Midwest Nephrology Consultants S.C.
- Midwest Orthopaedic and Spine Inc
- Midwest Sleep Associates, LLC (Midwest Center for Sleep Disorders)
- Midwest Sleep Center, PC
- Midwest Systems, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.