MIDWEST WOUND CARE INCORPORATED
NPI 1538976873
Internal Medicine in Bolingbrook, IL
About Midwest Wound Care Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST WOUND CARE INCORPORATED (NPI 1538976873) is a healthcare organization registered as an internal medicine in Bolingbrook, Illinois and active in the NPI registry since December 2024. The organization lists Ruth Odamtten, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Wound Care Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Midwest Wound Care Incorporated, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Wound Care Incorporated's NPI number?
The NPI number for Midwest Wound Care Incorporated is 1538976873. It was assigned to this organization in the NPPES registry on December 11, 2024.
Where is Midwest Wound Care Incorporated located?
Midwest Wound Care Incorporated is located at 1190 Lily Cache Ln Apt 103, Bolingbrook, IL 60490. The listed phone number is (630) 731-4492.
What is Midwest Wound Care Incorporated's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Midwest Wound Care Incorporated enrolled in Medicare?
Yes. Midwest Wound Care Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Wound Care Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Midwest Wound Care Incorporated. 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 (3) and Family Practice (1). 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 Wound Care Incorporated was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 Wound Care Incorporated · NPI 1538976873
Internal Medicine organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1538976873 (Entity type: Organization)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ruth Odamtten, PRESIDENT
## Practice location
- **Address:** 1190 LILY CACHE LN APT 103, Bolingbrook, IL 60490-3284
- **Phone:** (630) 731-4492
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538976873) · Data from the CMS NPPES public registry.