Midwest Urological Group, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MIDWEST UROLOGICAL GROUP, LTD.

Practice address

7309 N Knoxville Ave
Peoria, IL 61614-2085

Phone

(309) 692-9898

Fax

(309) 692-9055

NPI assigned

Jul 20, 2006

Last updated

Nov 15, 2021By 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

Tracy Harms

Title

Office Manager

Phone

(309) 683-0680

Specialties & licenses 1

Addresses

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

Practitioners 6

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.

• Joseph Banno, M.D.

  • Urology Physician
  • Peoria, IL
  • NPI 1811951072
  Medicare reassignment Care Compare group NPD
• George Schuster, MD

  • Urology Physician
  • Elk Grove Village, IL
  • NPI 1174673255
  Medicare reassignment Care Compare group NPD
• Joshua Michael Auer, APRN

  • Family Nurse Practitioner
  • Peoria, IL
  • NPI 1962038356
  Medicare reassignment NPD
• Laura L Wilson-Brown, P.A.

  • Medical Physician Assistant
  • Peoria, IL
  • NPI 1942441225
  Medicare reassignment
• Stuart L Bowers, MD

  • Urology Physician
  • Columbus, OH
  • NPI 1417915851
  NPD
• Sarat C Sabharwal, MD

  • Urology Physician
  • Kissimmee, FL
  • NPI 1114983392
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1891715272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142085",
            "telephone_number": "309-692-9898",
            "fax_number": "309-692-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142085",
            "telephone_number": "309-692-9898",
            "fax_number": "309-692-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST UROLOGICAL GROUP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-683-0680"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Orthopaedic Center S C
• Midwest Pain & Spine Center, LLC
• Midwest Podiatry Group, PC
• Midwest Reproductive Care LLC (Reproductive Health and Fertility Center)
• Midwest Urological Group, LTD.
• Jeffrey Benjamin Miessau, PA-C
• Keely Renee Mihavics, PHARMD
• John Ambrose Mihelcic, MD
• Teaghan Mihelcic, PA-C
• Jahnavi Mikkilineni, MBBS

• Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.