METRO MG LLC
NPI 1720891674
Registered Nurse - Wound Care in Chicago, IL

Active since January 27, 2025
5408 W FULLERTON AVE, CHICAGO, IL 60639(786) 301-4903 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Metro Mg Llc NPPES

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

METRO MG LLC (NPI 1720891674) is a healthcare organization registered as a wound care in Chicago, Illinois and active in the NPI registry since January 2025. The organization lists Jose Ayala, Owner, as its authorized official.

NPPES Registry Identity

NPI1720891674
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameMETRO MG LLC
Location Address5408 W FULLERTON AVEChicago, IL 60639
Mailing Address5408 W Fullerton AveChicago, IL 60639
Organization SubpartNo
Authorized OfficialJose AyalaOwner · (786) 301-4903
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1720891674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
5408 W FULLERTON AVE, Chicago, IL 60639

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Metro Mg Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Metro Mg LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1942457221
5406 W FULLERTON AVENUE
Chicago, IL 60639
(773) 466-7012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043026826
2020 CALAMOS CT
Naperville, IL 60563
(888) 402-0202
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1245774306
3515 SUMAC DR
Joliet, IL 60435
(773) 425-4345
✔ PECOS✔ Accepts Medicare31 mi
Podiatry
NPI 1518595933
1750 N RANDALL RD
Elgin, IL 60123
(847) 468-1994
✔ PECOS✔ Accepts Medicare31 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 Metro Mg LLC's NPI number?

The NPI number for Metro Mg LLC is 1720891674. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is Metro Mg LLC located?

Metro Mg LLC is located at 5408 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (786) 301-4903.

What is Metro Mg LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is Metro Mg LLC enrolled in Medicare?

Yes. Metro Mg LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metro Mg LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Metro Mg LLC, in Family Practice, Nurse Practitioner and Podiatry. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Metro Mg LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.