MIDWEST PRIMARY CARE AND GERIATRICS LLC
NPI 1356074264
Family Medicine in Lisle, IL
About Midwest Primary Care And Geriatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST PRIMARY CARE AND GERIATRICS LLC (NPI 1356074264) is a healthcare organization registered as a family medicine in Lisle, Illinois and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Nausheen Ahmed, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midwest Primary Care And Geriatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Midwest Primary Care And Geriatrics LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 14D2296481
Midwest Primary Care & Geriatrics · Lisle, ILFrequently 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 Primary Care And Geriatrics LLC's NPI number?
The NPI number for Midwest Primary Care And Geriatrics LLC is 1356074264. It was assigned to this organization in the NPPES registry on July 7, 2022.
Where is Midwest Primary Care And Geriatrics LLC located?
Midwest Primary Care And Geriatrics LLC is located at 1440 Maple Ave Ste 4A, Lisle, IL 60532. The listed phone number is (708) 420-3169.
What is Midwest Primary Care And Geriatrics LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Midwest Primary Care And Geriatrics LLC enrolled in Medicare?
Yes. Midwest Primary Care And Geriatrics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Primary Care And Geriatrics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Midwest Primary Care And Geriatrics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midwest Primary Care And Geriatrics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2296481) is associated with this NPI, valid through December 28, 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 Primary Care And Geriatrics LLC was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Midwest Primary Care And Geriatrics Llc · NPI 1356074264
Family Medicine organization in Lisle, Illinois. Organization record, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1356074264 (Entity type: Organization)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nausheen Ahmed, OWNER
## Practice location
- **Address:** 1440 MAPLE AVE STE 4A, Lisle, IL 60532-4135
- **Phone:** (708) 420-3169
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356074264) · Data from the CMS NPPES public registry.