Metro MG LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

METRO MG LLC

Practice address

5408 W Fullerton Ave
Chicago, IL 60639

Phone

(786) 301-4903

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By 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

Jose Ayala, MDNPI 1942457221

Title

Owner

Phone

(786) 301-4903

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Jose A Ayala, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1942457221
  Medicare reassignment NPD Authorized official
• Robert Esguerra, APRN

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1043026826

  Multi-Specialty

  Medicare reassignment NPD
• Haris Saleem Khan, DPM

  • Podiatrist
  • Elgin, IL
  • NPI 1518595933
  Medicare reassignment NPD
• Oludayo Ojelade

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1245774306
  Medicare reassignment NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1720891674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "786-301-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-301-4903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Dental LLC
• Metro Eye Care
• Metro Inpatient Care
• Metro Kidz Dental, PC
• Metro Kidz Dental, PC
• Metro North Surgical Center
• Metro Physicians & Specialists
• Metro Portable X-Ray Service
• Metro Urgent Care Inc
• Metro Urgent Care Inc

• Wound Care Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Wound Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.