MAXWELL MEDICAL GROUP, SC
NPI 1790448512
Clinic/Center - Multi-Specialty in Northbrook, IL
About Maxwell Medical Group, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL MEDICAL GROUP, SC (NPI 1790448512) is a healthcare organization registered as a multi-specialty in Northbrook, Illinois and active in the NPI registry since October 2021. The organization lists Andrew Rosenson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxwell Medical Group, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Maxwell Medical Group, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Maxwell Medical Group, Sc's NPI number?
The NPI number for Maxwell Medical Group, Sc is 1790448512. It was assigned to this organization in the NPPES registry on October 19, 2021.
Where is Maxwell Medical Group, Sc located?
Maxwell Medical Group, Sc is located at 1901 Raymond Dr. Suite 5, Northbrook, IL 60062. The listed phone number is (855) 629-8353.
What is Maxwell Medical Group, Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Maxwell Medical Group, Sc enrolled in Medicare?
Yes. Maxwell Medical Group, Sc is registered in the Medicare PECOS enrollment system.
When is Maxwell Medical Group, Sc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Maxwell Medical Group, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Maxwell Medical Group, Sc, in Cardiovascular Disease (Cardiology) and Diagnostic Radiology. 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 2 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 Maxwell Medical Group, Sc was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Maxwell Medical Group, Sc · NPI 1790448512
Multi-Specialty organization in Northbrook, Illinois. Organization record, active in the CMS NPPES registry since October 19, 2021.
## Identity
- **NPI:** 1790448512 (Entity type: Organization)
- **Enumerated:** October 19, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Andrew Rosenson, PRESIDENT
## Practice location
- **Address:** 1901 RAYMOND DR., SUITE 5, Northbrook, IL 60062
- **Phone:** (855) 629-8353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (2), Cardiovascular Disease (Cardiology) (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790448512) · Data from the CMS NPPES public registry.