MIDWEST ORTHOPAEDICS AT RUSH, LLC
NPI 1184004244
Durable Medical Equipment & Medical Supplies in Munster, IN

Active since June 04, 2015CLIA 15D2101373 · Waiver
9200 CALUMET AVE, MUNSTER, IN 46321(708) 236-2600 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Orthopaedics At Rush, Llc NPPES

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

MIDWEST ORTHOPAEDICS AT RUSH, LLC (NPI 1184004244) is a healthcare organization registered as a durable medical equipment & medical supplies in Munster, Indiana and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Randal Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184004244
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMIDWEST ORTHOPAEDICS AT RUSH, LLC
Location Address9200 CALUMET AVEMunster, IN 46321-2885
Mailing Address1 Westbrook Corporate Ctr, 240Westchester, IL 60154-5701 · (708) 236-2673
Organization SubpartNo
Authorized OfficialRandal JohnsonCfo · (708) 236-2673
Enumeration DateJune 4, 2015
NPI 1184004244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
9200 CALUMET AVE, Munster, IN 46321

Other Identifiers 2

Medicare PININ1587IN
Medicare PININ1344IN

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 15D2101373

Midwest Orthopaedics At Rush, LLC · Munster, IN
Active · expires Aug 31, 2027
CLIA Number15D2101373
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorLeda Ghannad
Laboratory Phone(708) 236-2673
Laboratory LocationMidwest Orthopaedics At Rush, LLC9200 Calumet Ave, Munster, IN 46321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
9200 CALUMET AVE, STE 203
MUNSTER, IN 46321
Physical Medicine & Rehabilitation (Sports Medicine)
9200 CALUMET AVE
MUNSTER, IN 46321
Clinic/Center (Ambulatory Surgical)
9200 CALUMET AVE, SUITE S200
MUNSTER, IN 46321
Physical Therapist
9200 CALUMET AVE, SUITE 401
MUNSTER, IN 46321
Physical Therapist
9200 CALUMET AVE, SUITE N-100
MUNSTER, IN 46321
Physical Therapy Assistant
9200 CALUMET AVE
MUNSTER, IN 46321
Clinic/Center (Rehabilitation)
9200 CALUMET AVE, SUITE N100
MUNSTER, IN 46321
Clinic/Center (Physical Therapy)
9200 CALUMET AVE, SUITE 401
MUNSTER, IN 46321

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 Midwest Orthopaedics At Rush, LLC's NPI number?

The NPI number for Midwest Orthopaedics At Rush, LLC is 1184004244. It was assigned to this organization in the NPPES registry on June 4, 2015.

Where is Midwest Orthopaedics At Rush, LLC located?

Midwest Orthopaedics At Rush, LLC is located at 9200 Calumet Ave, Munster, IN 46321. The listed phone number is (708) 236-2600.

What is Midwest Orthopaedics At Rush, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Midwest Orthopaedics At Rush, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2101373) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest Orthopaedics At Rush, LLC was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.