Active NPI
Mediverse Professional Group PLLC
- Diagnostic Radiology Physician
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MEDIVERSE PROFESSIONAL GROUP PLLC
- Practice address
- 2210 Midwest Rd Ste 105
Oak Brook, IL 60523-8206 - Phone
- (630) 440-7786
- Fax
- (312) 807-3550
- NPI assigned
- Jun 11, 2026
- Last updated
- Jun 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Usman K Qadeer, MD
- Title
- Authorized Official
- Phone
- (607) 738-0240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2210 Midwest Rd Ste 105
Oak Brook, IL 60523-8206
Mailing address
2210 Midwest Rd Ste 105
Oak Brook, IL 60523-8206
Phone (630) 440-7786
National Provider Directory
National Provider Directory- Tax ID family
- Mediverse Professional Group PLLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Brook, IL
- NPI 1447175138
-
dba Mediverse Urgent Care
- Family Medicine Physician
- Oak Brook, IL
- NPI 1699695791
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1902695497
Locations
2210 Midwest Rd
Ste 105
Oak Brook, IL 60523
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Orland Park, IL
- NPI 1467728378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781136000000",
"number": "1356275630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 MIDWEST RD STE 105",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238206",
"telephone_number": "630-440-7786",
"fax_number": "312-807-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MIDWEST RD STE 105",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238206",
"telephone_number": "630-440-7786",
"fax_number": "312-807-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIVERSE PROFESSIONAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A",
"authorized_official_last_name": "QADEER",
"authorized_official_first_name": "USMAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "607-738-0240",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.