ELITE PHYSICIANS MEDICAL GROUP INC
NPI 1528802956
Family Medicine in Hickory Hills, IL
About Elite Physicians Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PHYSICIANS MEDICAL GROUP INC (NPI 1528802956) is a healthcare organization registered as a family medicine in Hickory Hills, Illinois and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Abdelkhaliq Isam Qasem, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elite Physicians Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Physicians Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 14D2307985
Elite Physicians Medical Group Inc · Hickory Hills, 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 Elite Physicians Medical Group Inc's NPI number?
The NPI number for Elite Physicians Medical Group Inc is 1528802956. It was assigned to this organization in the NPPES registry on June 20, 2024.
Where is Elite Physicians Medical Group Inc located?
Elite Physicians Medical Group Inc is located at 9634 S Roberts Rd Ste 100, Hickory Hills, IL 60457. The listed phone number is (708) 741-7944.
What is Elite Physicians Medical Group Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elite Physicians Medical Group Inc enrolled in Medicare?
Yes. Elite Physicians Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elite Physicians Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Physicians Medical Group Inc, in Internal Medicine and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Elite Physicians Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2307985) is associated with this NPI, valid through July 17, 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 Elite Physicians Medical Group Inc was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Elite Physicians Medical Group Inc · NPI 1528802956
Family Medicine organization in Hickory Hills, Illinois. Organization record, active in the CMS NPPES registry since June 20, 2024.
## Identity
- **NPI:** 1528802956 (Entity type: Organization)
- **Enumerated:** June 20, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Abdelkhaliq Qasem, OWNER
## Practice location
- **Address:** 9634 S ROBERTS RD STE 100, Hickory Hills, IL 60457-2238
- **Phone:** (708) 741-7944 · **Fax:** (708) 741-7941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528802956) · Data from the CMS NPPES public registry.