MIDWEST LAKES MEDICAL CENTER, SC
NPI 1417121500
Internal Medicine in Crystal Lake, IL

Active since April 18, 2008
690 E TERRA COTTA AVE, SUITE D, CRYSTAL LAKE, IL 60014(815) 455-8600(815) 455-8601 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Midwest Lakes Medical Center, Sc NPPES

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

MIDWEST LAKES MEDICAL CENTER, SC (NPI 1417121500) is a healthcare organization registered as an internal medicine in Crystal Lake, Illinois and active in the NPI registry since April 2008. The organization lists Mukesh Arora, Doctor, as its authorized official.

NPPES Registry Identity

NPI1417121500
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIDWEST LAKES MEDICAL CENTER, SC
Location Address690 E TERRA COTTA AVE, SUITE DCrystal Lake, IL 60014-3605
Mailing Address690 E Terra Cotta Ave, Suite DCrystal Lake, IL 60014-3605 · (815) 455-8600 · Fax (815) 455-8601
Fax(815) 455-8601
Organization SubpartNo
Authorized OfficialMukesh AroraDoctor · (815) 455-8600
Enumeration DateApril 18, 2008
Last NPPES UpdateAugust 19, 2014
✔ NPI 1417121500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36097343
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
690 E TERRA COTTA AVE, Crystal Lake, IL 60014

Other Identifiers 4

Medicare UPING84590IL
Medicare PIN527740IL
Medicaid036 097 343IL
Other05623054IL · Bcbs Id

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

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 Lakes Medical Center, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Midwest Lakes Medical Center, Sc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Hospitalist
NPI 1194986695
690 E TERRA COTTA AVE SUITE D
Crystal Lake, IL 60014
(815) 455-8600
✔ PECOS✔ Accepts Medicare2.6 mi
Hospitalist
NPI 1518975796
690 E TERRA COTTA AVE SUITE D
Crystal Lake, IL 60014
(815) 455-8600
✔ PECOS✔ Accepts Medicare2.6 mi

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 Midwest Lakes Medical Center, Sc's NPI number?

The NPI number for Midwest Lakes Medical Center, Sc is 1417121500. It was assigned to this organization in the NPPES registry on April 18, 2008.

Where is Midwest Lakes Medical Center, Sc located?

Midwest Lakes Medical Center, Sc is located at 690 E Terra Cotta Ave Suite D, Crystal Lake, IL 60014. The listed phone number is (815) 455-8600.

What is Midwest Lakes Medical Center, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Midwest Lakes Medical Center, Sc enrolled in Medicare?

Yes. Midwest Lakes Medical Center, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Lakes Medical Center, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Hospitalist, reassign their Medicare billing to Midwest Lakes Medical Center, Sc. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Midwest Lakes Medical Center, Sc was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.