DIVINE WOUND SPECIALIST L.L.C
NPI 1902750854
Family Medicine - Geriatric Medicine in Crown Point, IN
About Divine Wound Specialist L.l.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE WOUND SPECIALIST L.L.C (NPI 1902750854) is a healthcare organization registered as a geriatric medicine in Crown Point, Indiana and active in the NPI registry since February 2026. The organization lists Akeem Olasunkanmi Kareem, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Wound Specialist L.l.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Divine Wound Specialist L.L.C, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Divine Wound Specialist L.L.C's NPI number?
The NPI number for Divine Wound Specialist L.L.C is 1902750854. It was assigned to this organization in the NPPES registry on February 25, 2026.
Where is Divine Wound Specialist L.L.C located?
Divine Wound Specialist L.L.C is located at 250 N Main St Unit 11K, Crown Point, IN 46307. The listed phone number is (219) 257-2252.
What is Divine Wound Specialist L.L.C's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Divine Wound Specialist L.L.C enrolled in Medicare?
Yes. Divine Wound Specialist L.L.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Wound Specialist L.L.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Wound Specialist L.L.C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Divine Wound Specialist L.L.C was last updated on April 8, 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.
# Divine Wound Specialist L.l.c · NPI 1902750854
Geriatric Medicine organization in Crown Point, Indiana. Organization record, active in the CMS NPPES registry since February 25, 2026.
## Identity
- **NPI:** 1902750854 (Entity type: Organization)
- **Enumerated:** February 25, 2026
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Akeem Kareem, CEO
## Practice location
- **Address:** 250 N MAIN ST UNIT 11K, Crown Point, IN 46307-3278
- **Phone:** (219) 257-2252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902750854) · Data from the CMS NPPES public registry.