ADEXBRA HEALTHCARE LLC
NPI 1275360851
Nurse Practitioner - Primary Care in Chicago, IL

Active since September 17, 2024
205 N MICHIGAN AVE STE 810, CHICAGO, IL 60601(309) 262-9924 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Sep 17, 2024 (2 updates tracked since 2024).

About Adexbra Healthcare Llc NPPES

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

ADEXBRA HEALTHCARE LLC (NPI 1275360851) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since September 2024. The organization maintains 2 additional practice locations and lists Adetomiwa Adetilewa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275360851
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameADEXBRA HEALTHCARE LLC
Location Address205 N MICHIGAN AVE STE 810Chicago, IL 60601-5902
Mailing Address205 N Michigan Ave Ste 810Chicago, IL 60601-5902 · (309) 262-9924 · Fax (469) 373-3355
Organization SubpartNo
Authorized OfficialAdetomiwa AdetilewaCeo · (309) 262-9924
Enumeration DateSeptember 17, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1275360851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
205 N MICHIGAN AVE STE 810, Chicago, IL 60601

Secondary Practice Locations 2

Location 16575 Spring StDouglasville, GA 30134-1890 · Phone (309) 262-9924 · Fax (469) 373-3355
Location 298 E Morris StSamson, AL 36477-1229 · Phone (309) 262-9924 · Fax (469) 373-3355

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Adexbra Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1285013714
2790 SANDY PLAINS RD STE 202
Marietta, GA 30066
(678) 777-4336
✔ PECOS✔ Accepts Medicare569 mi
Nurse Practitioner
NPI 1023460417
961 HEATHCHASE DR
Suwanee, GA 30024
(678) 463-5695
✔ PECOS✔ Accepts Medicare576 mi
Nurse Practitioner
NPI 1790167856
3001 LUSK DR
Smyrna, GA 30080
(678) 309-9977
✔ PECOS✔ Accepts Medicare579 mi
Nurse Practitioner
NPI 1316306764
2755 GREEN MARSH CT
Decatur, GA 30034
(770) 713-9770
✔ PECOS✔ Accepts Medicare595 mi
Nurse Practitioner
NPI 1063879054
98 E MORRIS ST
Samson, AL 36477
(334) 898-2728
✔ PECOS✔ Accepts Medicare748 mi
Nurse Practitioner
NPI 1932870136
98 E MORRIS ST
Samson, AL 36477
(334) 898-2728
✔ PECOS✔ Accepts Medicare748 mi
Nurse Practitioner
NPI 1376251124
9578 ARROW ROUTE SUITE A
Rancho Cucamonga, CA 91730
(213) 800-3607
✔ PECOS1,712 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 Adexbra Healthcare LLC's NPI number?

The NPI number for Adexbra Healthcare LLC is 1275360851. It was assigned to this organization in the NPPES registry on September 17, 2024.

Where is Adexbra Healthcare LLC located?

Adexbra Healthcare LLC is located at 205 N Michigan Ave Ste 810, Chicago, IL 60601. The listed phone number is (309) 262-9924.

What is Adexbra Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Adexbra Healthcare LLC enrolled in Medicare?

Yes. Adexbra Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adexbra Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Adexbra Healthcare LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adexbra Healthcare LLC was last updated on November 3, 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.