MEDIVERSE PROFESSIONAL GROUP PLLC
NPI 1699695791
Family Medicine in Oak Brook, IL

Active since July 18, 2026
2210 MIDWEST RD STE 111A, OAK BROOK, IL 60523(630) 440-7786 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Jul 23, 2026, Jul 18, 2026 (3 updates tracked since 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 1699695791), doing business as Mediverse Urgent Care, is a healthcare organization registered as a family medicine in Oak Brook, Illinois and active in the NPI registry since July 2026. The organization lists Usman K Qadeer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699695791
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDIVERSE PROFESSIONAL GROUP PLLC
Location Address2210 MIDWEST RD STE 111AOak Brook, IL 60523-1280
Mailing Address2210 Midwest Rd Ste 111aOak Brook, IL 60523-1280
Organization SubpartNo
Authorized OfficialUsman K QadeerAuthorized Official · (607) 738-0240
Enumeration DateJuly 18, 2026
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1699695791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2210 MIDWEST RD STE 111A, Oak Brook, IL 60523

Other Names 1

Doing Business AsMediverse Urgent Care

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)

Mediverse Professional Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mediverse Professional Group PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mental Health Counselor
NPI 1447184668
2210 MIDWEST RD STE 111
Oak Brook, IL 60523
(888) 632-1240
✔ PECOSSame address
Mental Health Counselor
NPI 1114395985
330 BRIARWOOD LN
Bloomingdale, IL 60108
(630) 205-7188
✔ PECOS8.0 mi
Podiatry
NPI 1275880270
3100 OAK PARK AVE
Berwyn, IL 60402
(708) 484-3338
✔ PECOS✔ Accepts Medicare9.4 mi
Neurology
NPI 1467728378
15300 WEST AVE STE 210
Orland Park, IL 60462
(708) 226-2890
✔ PECOS✔ Accepts Medicare17 mi
Psychiatry
NPI 1245419696
11101 W LINCOLN AVE
West Allis, WI 53227
(800) 767-4411
✔ PECOS80 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 Mediverse Professional Group PLLC's NPI number?

The NPI number for Mediverse Professional Group PLLC is 1699695791. It was assigned to this organization in the NPPES registry on July 18, 2026. The provider is doing business as Mediverse Urgent Care.

Where is Mediverse Professional Group PLLC located?

Mediverse Professional Group PLLC is located at 2210 Midwest Rd Ste 111A, 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 Family Medicine with taxonomy code 207Q00000X.

Is Mediverse Professional Group PLLC enrolled in Medicare?

Yes. Mediverse Professional Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mediverse Professional Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Mediverse Professional Group PLLC, in Mental Health Counselor, Neurology, Podiatry and Psychiatry. 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mediverse Professional Group PLLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.