MIDC, LLC
NPI 1235125717
Internal Medicine - Infectious Disease in Burr Ridge, IL

Active since September 21, 2005
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527(888) 220-6432(630) 734-4715 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Sep 10, 2019 (2 updates tracked since 2019).

About Midc, Llc NPPES

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

MIDC, LLC (NPI 1235125717) is a healthcare organization registered as an infectious disease in Burr Ridge, Illinois and active in the NPI registry since September 2005. The organization maintains a secondary practice location in Dayton and lists Russell M Petrak, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1235125717
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameMETRO INFECTIOUS DISEASE CONSULTANTS, LLC
Location Address901 MCCLINTOCK DR, SUITE 202Burr Ridge, IL 60527-0844
Mailing Address901 Mcclintock Dr, Ste 202Burr Ridge, IL 60527-0844 · (888) 220-6432 · Fax (630) 734-4715
Fax(630) 734-4715
Organization SubpartNo
Authorized OfficialRussell M PetrakManaging Partner · (888) 220-6432
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1235125717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IL · 0000920-2
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.
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse PractitionerTaxonomy 363L00000X
901 MCCLINTOCK DR, Burr Ridge, IL 60527

Other Names 1

Doing Business AsMidc, Llc

Secondary Practice Location 1

Location 17901 Schatz Pointe Dr Ste DDayton, OH 45459-3824 · Phone (877) 448-3627 · Fax (866) 507-1164

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation 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).

Medicare Revalidation Due Date 4

Next revalidation due by October 31, 2026

This provider holds 4 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20120710000753Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateIndianaEnrollment IDO20070323000403Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
StateIowaEnrollment IDO20040401001608Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
StateIllinoisEnrollment IDO20031103000274Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

485

Medicare enrollment records show 485 clinicians reassign Medicare billing to Midc, LLC, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner322
Infectious Disease125
Internal Medicine26
Family Practice2
Rheumatology2
Anesthesiology1
Certified Clinical Nurse Specialist (CNS)1
Hospice/Palliative Care1
5 other specialties5

Nearest to this location (20)

See all 485
Infectious Disease
NPI 1336359058
901 MCCLINTOCK DR SUITE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407234255
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922721216
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(630) 655-6748
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1164457578
901 MC CLINTOCK DRIVE SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1871589291
901 MCCLINTOCK DR SUITE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1407412166
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(630) 590-2830
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1285638759
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(630) 654-4201
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1760619969
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295721595
901 MCCLINTOCK DR SUITE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1184116139
901 MCCLINTOCK DR SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750703104
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(630) 655-6748
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1750841623
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(630) 654-4201
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1376539692
901 MCCLINTOCK DR SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1982603387
901 MCCLINTOCK DR SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1164418414
901 MCCLINTOCK DR SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1376047589
901 MCCLINTOCK DR STE 201
Burr Ridge, IL 60527
(630) 654-4201
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1083028880
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1700154028
901 MCCLINTOCK DR STE 202
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1558357830
901 MCCLINTOCK DR SUITE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1346694981
901 MCCLINTOCK DR STE 201
Burr Ridge, IL 60527
(888) 220-6432
✔ PECOS✔ Accepts Medicare0.1 mi
See all 485 clinicians

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

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 1235125717. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Midc, LLC.

Where is Metro Infectious Disease Consultants, LLC located?

Metro Infectious Disease Consultants, LLC is located at 901 Mcclintock Dr Suite 202, Burr Ridge, IL 60527. The listed phone number is (888) 220-6432.

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.

When is Metro Infectious Disease Consultants, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Metro Infectious Disease Consultants, LLC holds 4 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 485 clinicians in 13 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 Nurse Practitioner (322), Infectious Disease (125) and Internal Medicine (26). Of these, 19 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Metro Infectious Disease Consultants, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter from Meridian and 23 other insurers 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 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.