MIDC – NPI #1598242778
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

MIDC is a provider located in KANSAS CITY, MO. NPPES has assigned the NPI number 1598242778 to MIDC on July 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIDC” is a dba name, the actual legal business name for this organization is METRO INFECTIOUS DISEASE CONSULTANTS, LLC. The primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 5 years ago on Jul 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDC below.

NPI Profile for
METRO INFECTIOUS DISEASE CONSULTANTS, LLC

NPI Number
1598242778
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METRO INFECTIOUS DISEASE CONSULTANTS, LLC
Doing Business As (dba): MIDC
Primary location
2340 E MEYER BLVD, BLDG 2
STE 392
KANSAS CITY, MO 64132-1129
Phone: (816) 444-7977 Fax: (816) 361-8938
Mailing address
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone: (888) 220-6432 Fax: (630) 654-4253
Organization Subpart
No
Authorized Official
RUSSELL PETRAK
MANAGING PARTNER
Phone: (888) 220-6432
Updated
Certification Date
Jul 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIDC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO502397706
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0200X
- Internal Medicine / Infectious Disease (Primary)
MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.