MIDC, LLC
NPI 1073854600
Internal Medicine - Infectious Disease in Goodyear, AZ

Active since March 06, 2013CLIA 14D0907868 · Waiver
13657 W MCDOWELL RD, SUITE 118, GOODYEAR, AZ 85395(623) 328-7794(623) 328-7932 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Midc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDC, LLC (NPI 1073854600) is a healthcare organization registered as an infectious disease in Goodyear, Arizona and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Tara Kowalski, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1073854600
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMETRO INFECTIOUS DISEASE CONSULTANTS, LLC
Location Address13657 W MCDOWELL RD, SUITE 118Goodyear, AZ 85395-2601
Mailing Address901 Mcclintock Dr, Suite 202Burr Ridge, IL 60527-0871 · (888) 220-6432 · Fax (630) 734-4715
Fax(623) 328-7932
Organization SubpartNo
Authorized OfficialTara KowalskiCredentialing Manager · (888) 220-6432
Enumeration DateMarch 6, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073854600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
13657 W MCDOWELL RD, Goodyear, AZ 85395

Other Names 1

Doing Business AsMidc, Llc

Other Identifiers 1

Medicaid780223AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Midc, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Infectious Disease8
Nurse Practitioner6
Internal Medicine2

Clinicians, nearest first (16)

Infectious Disease
NPI 1336777184
2340 E MEYER BLVD BLDG 2 STE 392
Kansas City, KS 66160
(816) 444-7977
✔ PECOS✔ Accepts Medicare1,054 mi
Infectious Disease
NPI 1649706243
4601 W 109TH ST STE 100
Overland Park, KS 66211
(913) 942-0540
✔ PECOS✔ Accepts Medicare1,057 mi
Infectious Disease
NPI 1740497122
4601 W 109TH ST STE 100
Overland Park, KS 66211
(816) 942-0540
✔ PECOS✔ Accepts Medicare1,057 mi
Internal Medicine
NPI 1699180844
3901 RAINBOW BLVD STE 2
Kansas City, KS 66160
(913) 588-6035
✔ PECOS✔ Accepts Medicare1,061 mi
Infectious Disease
NPI 1831250547
2340 E MEYER BLVD BLDG 2 SUITE 348
Kansas City, MO 64132
(816) 444-7977
✔ PECOS✔ Accepts Medicare1,063 mi
Infectious Disease
NPI 1366405078
2340 E MEYER BLVD BLDG 2 SUITE 348
Kansas City, MO 64132
(816) 444-7977
✔ PECOS✔ Accepts Medicare1,063 mi
Infectious Disease
NPI 1710940424
2340 E MEYER BLVD BLDG 2 SUITE 348
Kansas City, MO 64132
(816) 444-7977
✔ PECOS✔ Accepts Medicare1,063 mi
Nurse Practitioner
NPI 1437785672
2340 E MEYER BLVD, BLDG 2 SUITE 392
Kansas City, MO 64132
(816) 444-7977
✔ PECOS✔ Accepts Medicare1,063 mi
Internal Medicine
NPI 1003494295
2340 E MEYER BLVD STE 392
Kansas City, MO 64132
(816) 444-7977
✔ PECOS1,063 mi
Infectious Disease
NPI 1407868268
200 NE 54TH ST SUITE 111
Kansas City, MO 64118
(816) 799-0180
✔ PECOS✔ Accepts Medicare1,065 mi
Nurse Practitioner
NPI 1417332354
1440 W REPUBLIC RD STE 124
Springfield, MO 65807
(877) 448-3627
✔ PECOS✔ Accepts Medicare1,103 mi
Infectious Disease
NPI 1508351693
325 9TH AVE
Seattle, WA 98104
(206) 520-5000
✔ PECOS✔ Accepts Medicare1,106 mi
Nurse Practitioner
NPI 1811627672
1600 E BROADWAY
Columbia, MO 65201
(573) 815-8000
✔ PECOS✔ Accepts Medicare1,179 mi
Nurse Practitioner
NPI 1417530213
1415 CHAMBERS DR
O Fallon, MO 63366
(636) 578-0890
✔ PECOS✔ Accepts Medicare1,260 mi
Nurse Practitioner
NPI 1750769261
4800 MEXICO RD SUITE 101
Saint Peters, MO 63376
(636) 442-5035
✔ PECOS✔ Accepts Medicare1,268 mi
Nurse Practitioner
NPI 1508359043
12200 WEBER HILL RD STE 100
Saint Louis, MO 63127
(314) 698-2500
✔ PECOS✔ Accepts Medicare1,275 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0907868

Metro Infectious Disease Consultants P L C · Burr Ridge, IL
Active · expires Apr 6, 2028
CLIA Number14D0907868
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorRussell M. Petrak M D
Laboratory Phone(630) 654-4201
Laboratory LocationMetro Infectious Disease Consultants P L C901 Mcclintock Dr, Ste 202, Burr Ridge, IL 60527
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metro Infectious Disease Consultants, LLC's NPI number?

The NPI number for Metro Infectious Disease Consultants, LLC is 1073854600. It was assigned to this organization in the NPPES registry on March 6, 2013. The provider is doing business as Midc, LLC.

Where is Metro Infectious Disease Consultants, LLC located?

Metro Infectious Disease Consultants, LLC is located at 13657 W Mcdowell Rd Suite 118, Goodyear, AZ 85395. The listed phone number is (623) 328-7794.

What is Metro Infectious Disease Consultants, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Metro Infectious Disease Consultants, LLC enrolled in Medicare?

Yes. Metro Infectious Disease Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metro Infectious Disease Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Metro Infectious Disease Consultants, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Infectious Disease (8), Nurse Practitioner (6) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Metro Infectious Disease Consultants, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0907868) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Metro Infectious Disease Consultants, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Metro Infectious Disease Consultants, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Metro Infectious Disease Consultants, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.