Organization Active NPI

Midwest Home Physicians Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
National Provider Identifier
1760086540
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MIDWEST HOME PHYSICIANS INC
Practice address
1536 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone
(216) 243-9188
NPI assigned
Nov 23, 2020
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
James Villar
Title
Managing Director
Phone
(773) 645-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1536 Saint Clair Ave NE
Cleveland, OH 44114-2004

Mailing address

6421 N Hamlin Ave # F
Lincolnwood, IL 60712-4041
Phone (773) 645-1192

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.practicefusion.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, FL, AZ, NV, PA, LA, TX, MO, TN, KY, AL, NY, SC, KS, AR, IA, NJ, DC, NC, MN, IL, MS23 enrollments

Enrollment records 23

Enrollment IDStateProvider typePAC IDDetails
O20201229002526 OH Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 6 practitioners
Practice locations: Cleveland, OH
O20210303002127 IN Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 6 practitioners
Practice locations: South Bend, IN
O20210305000955 FL Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 2 practitioners
Practice locations: North Miami Beach, FL
O20210312001713 AZ Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ
O20210316002984 NV Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20210319000698 PA Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 2 practitioners
Practice locations: Newtown Square, PA
O20210326000825 LA Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA
O20210408001910 TX Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX
O20210429000690 MO Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO
O20210520002878 TN Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 4 practitioners
Practice locations: Memphis, TN
O20210524001788 KY Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 4 practitioners
Practice locations: Louisville, KY
O20210619000002 AL Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL
O20210622000186 NY Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Larchmont, NY
O20210622000346 SC Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC
O20210625001856 KS Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS
O20210625002724 AR Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Bentonville, AR
O20210629003302 IA Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA
O20210630000665 NJ Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 3 practitioners
Practice locations: Toms River, NJ
O20210630001297 DC Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD
O20210701000487 NC Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC
O20210708000243 MN Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN
O20210708001340 IL Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 18 practitioners
Practice locations: Lincolnwood, IL
O20250225000094 MS Part B Supplier - Clinic/Group Practice 0941613426 Receives reassigned benefits from 2 practitioners
Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Locations

3558 Round Barn Blvd
Ste 200
Santa Rosa, CA 95403
Phone (707) 321-6997

29805 US Highway 24
Buena Vista, CO 81211

16132 Churchview Dr
Ste 209B
Lithia, FL 33547

6421 N Hamlin Ave
#F
Lincolnwood, IL 60712

6421 N Hamlin Ave
Ste F
Lincolnwood, IL 60712
Phone (847) 324-9728

6601 N Lincoln Ave
Lincolnwood, IL 60712

1302 Magnolia St
Unit 1A5
Gulfport, MS 39507
Phone (833) 782-0622

933 Louise Ave
#445
Charlotte, NC 28204

1536 Saint Clair Ave NE
#S33
Cleveland, OH 44114

100 S King St
Ste 100
Seattle, WA 98104

829 Wisconsin Ave
Racine, WI 53403

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1760086540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N HAMLIN AVE # F",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124041",
            "telephone_number": "773-645-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SAINT CLAIR AVE NE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142004",
            "telephone_number": "216-243-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOME PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "773-645-1192"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SOAP note",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP Note",
            "address_1": "6421 N Hamlin Ave # F",
            "city": "Lincolnwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "607124041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.