Midwest Women OB-Gyne LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MIDWEST WOMEN OB-GYNE LTD

Practice address

3825 Highland Ave
Tower 1 Suite 2F
Downers Grove, IL 60515-1552

Phone

(630) 852-3762

Fax

(630) 852-4087

NPI assigned

Nov 3, 2006

Last updated

Jan 31, 2022By 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. Shamita Bansore, M.D.NPI 1700813771

Title

Physician/Owner

Phone

(630) 852-3762

Specialties & licenses 1

Addresses

Other names 1

• Midwest Women OB/GYN Former legal business name

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 4

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.

• Shamita V Bansore, MD

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
  • NPI 1700813771
  Medicare reassignment Care Compare group NPD Authorized official
• Medha S Amin, MD

  • Obstetrics Physician
  • Downers Grove, IL
  • NPI 1912197534
  Medicare reassignment Care Compare group NPD
• Ramya Narayanan, M.D.

  • Obstetrics & Gynecology Physician
  • Downers Grove, IL
  • NPI 1750510574
  Medicare reassignment Care Compare group NPD
• Susan Willoughby, APN CNM

  • Advanced Practice Midwife
  • Downers Grove, IL
  • NPI 1528207412
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1679652523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "TOWER 1 SUITE 2F",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-852-3762",
            "fax_number": "630-852-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE",
            "address_2": "TOWER 1 SUITE 2F",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151552",
            "telephone_number": "630-852-3762",
            "fax_number": "630-852-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WOMEN OB-GYNE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BANSORE",
        "authorized_official_first_name": "SHAMITA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "630-852-3762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Women OB/GYN",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Midwest Women OB/GYN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.