LOCKPORT EXPRESS MEDICAL GROUP
NPI 1790053643
Clinic/Center - Urgent Care in Lockport, IL
About Lockport Express Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOCKPORT EXPRESS MEDICAL GROUP (NPI 1790053643) is a healthcare organization registered as an urgent care in Lockport, Illinois and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Nagui Y Hanna, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Lockport Express Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Lockport Express Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Downers Grove, IL 60515
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 14D2036421
Lockport Express Medical Group · Lockport, 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 Lockport Express Medical Group, Inc.'s NPI number?
The NPI number for Lockport Express Medical Group, Inc. is 1790053643. It was assigned to this organization in the NPPES registry on December 7, 2011. The provider is doing business as Lockport Express Medical Group.
Where is Lockport Express Medical Group, Inc. located?
Lockport Express Medical Group, Inc. is located at 16221 W. 159th Street, Lockport, IL 60441. The listed phone number is (815) 588-1111.
What is Lockport Express Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Lockport Express Medical Group, Inc. enrolled in Medicare?
Yes. Lockport Express Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lockport Express Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Lockport Express Medical Group, Inc.. 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 (9) and Emergency Medicine (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lockport Express Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2036421) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lockport Express Medical Group, Inc. was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lockport Express Medical Group · NPI 1790053643
Urgent Care organization in Lockport, Illinois. Organization record, active in the CMS NPPES registry since December 7, 2011.
## Identity
- **NPI:** 1790053643 (Entity type: Organization)
- **Enumerated:** December 7, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Lockport Express Medical Group, Inc.
- **Organization subpart:** No
- **Authorized official:** Nagui Hanna, PHYSICIAN/OWNER
## Practice location
- **Address:** 16221 W. 159TH STREET, Lockport, IL 60441-7959
- **Phone:** (815) 588-1111 · **Fax:** (815) 838-4305
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Emergency Medicine (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790053643) · Data from the CMS NPPES public registry.