MEDIVERSE PROFESSIONAL GROUP PLLC
NPI 1356275630
Radiology - Diagnostic Radiology in Oak Brook, IL

Active since June 11, 2026CLIA 14D2330537 · Waiver
2210 MIDWEST RD STE 105, OAK BROOK, IL 60523(630) 440-7786(312) 807-3550 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mediverse Professional Group Pllc NPPES

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

MEDIVERSE PROFESSIONAL GROUP PLLC (NPI 1356275630) is a healthcare organization registered as a diagnostic radiology in Oak Brook, Illinois and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Usman K Qadeer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356275630
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMEDIVERSE PROFESSIONAL GROUP PLLC
Location Address2210 MIDWEST RD STE 105Oak Brook, IL 60523-8206
Mailing Address2210 Midwest Rd Ste 105Oak Brook, IL 60523-8206 · (630) 440-7786 · Fax (312) 807-3550
Fax(312) 807-3550
Organization SubpartNo
Authorized OfficialUsman K QadeerAuthorized Official · (607) 738-0240
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1356275630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2210 MIDWEST RD STE 105, Oak Brook, IL 60523

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

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 14D2330537

Mediverse Professional Group PLLC · Oak Brook, IL
Active · expires Sep 16, 2027
CLIA Number14D2330537
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorUsman Qadeer
Laboratory Phone(630) 366-6186
Laboratory LocationMediverse Professional Group PLLC2210 Midwest Rd, Oak Brook, IL 60523
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mediverse Professional Group PLLC's NPI number?

The NPI number for Mediverse Professional Group PLLC is 1356275630. It was assigned to this organization in the NPPES registry on June 11, 2026.

Where is Mediverse Professional Group PLLC located?

Mediverse Professional Group PLLC is located at 2210 Midwest Rd Ste 105, Oak Brook, IL 60523. The listed phone number is (630) 440-7786.

What is Mediverse Professional Group PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Mediverse Professional Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2330537) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mediverse Professional Group PLLC was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.