MEDIVERSE PROFESSIONAL GROUP PLLC
NPI 1902695497
Clinic/Center - Multi-Specialty in Oak Brook, IL
About Mediverse Professional Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDIVERSE PROFESSIONAL GROUP PLLC (NPI 1902695497) is a healthcare organization registered as a multi-specialty in Oak Brook, Illinois and active in the NPI registry since May 2025. The organization lists Usman Kareem Qadeer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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
10Medicare enrollment records show 10 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 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (10)
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 1902695497. It was assigned to this organization in the NPPES registry on May 2, 2025.
Where is Mediverse Professional Group PLLC located?
Mediverse Professional Group PLLC is located at 2210 Midwest Rd Ste 111, Oak Brook, IL 60523. The listed phone number is (888) 632-1240.
What is Mediverse Professional Group PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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), 10 clinicians in 7 Medicare specialties reassign their Medicare billing to Mediverse Professional Group PLLC. 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. The largest specialties are Neurology (3), Mental Health Counselor (2) and Emergency Medicine (1). Of these, 1 practice at this address and 5 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 October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Mediverse Professional Group Pllc · NPI 1902695497
Multi-Specialty organization in Oak Brook, Illinois. Organization record, active in the CMS NPPES registry since May 2, 2025.
## Identity
- **NPI:** 1902695497 (Entity type: Organization)
- **Enumerated:** May 2, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Usman Qadeer, PRESIDENT
## Practice location
- **Address:** 2210 MIDWEST RD STE 111, Oak Brook, IL 60523-8206
- **Phone:** (888) 632-1240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (3), Mental Health Counselor (2), Emergency Medicine (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902695497) · Data from the CMS NPPES public registry.