Organization Active NPI

Midwest Medical Services LLC

  • Internal Medicine Physician
  • Michigan City, IN
National Provider Identifier
1972064327
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDWEST MEDICAL SERVICES LLC
Practice address
802 E US Highway 20
Michigan City, IN 46360-7424
Phone
(219) 872-7251
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Dr. Sanjay V Raikar, MDNPI 1780990283
Title
Partner
Phone
(773) 727-9625

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

802 E US Highway 20
Michigan City, IN 46360-7424

Mailing address

10241 Margo LN
Munster, IN 46321-9181
Phone (773) 727-9625

Other names 1

  • Midwest medical services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002538 IN Part B Supplier - Clinic/Group Practice 5991047680 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, IN

National Provider Directory

National Provider Directory

Locations

5909 Lute Rd
Portage, IN 46368
Phone (219) 462-4411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1972064327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 MARGO LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463219181",
            "telephone_number": "773-727-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E US HIGHWAY 20",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607424",
            "telephone_number": "219-872-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "RAIKAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-727-9625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest medical services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.