Osama Mustafa Qaqi, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

4301094988 Issued in MI

Practice address

16519 S Route 59 Ste a
Plainfield, IL 60586-2608

Phone

(630) 600-0700

Fax

(630) 600-0701

NPI assigned

Jul 1, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians

Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians

Edward HospitalGroup PAC ID 0042108110, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edward Hospital Hospital, Naperville, IL, CCN 140231
• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oqaqi@direct.dmc.org
• FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiovascular Institute Gpe Inc

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1992594022
  Medicare reassignment Care Compare group NPD
• Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1013969013
  Medicare reassignment Care Compare group NPD
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Medicare reassignment Care Compare group NPD
• Midwest Cardiovascular Institute SC

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1003491549
  Medicare reassignment NPD
• Naperville Psychiatric Ventures

  • Psychiatric Hospital
  • Naperville, IL
  • NPI 1871628362
  Medicare reassignment NPD
• Edward Hospital

  • Home Health Agency
  • Naperville, IL
  • NPI 1912930645

  Cardiovascular Disease

  NPD
• Naperville Psychiatric Ventures

  • Psychiatric Hospital
  • Naperville, IL
  • NPI 1619910460
  NPD
• Great Lakes Medicine, PLC

  • Hospitalist Physician
  • Shelby Township, MI
  • NPI 1740210517

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1427069632
  Care Compare affiliation
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1508094210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 S ROUTE 59 STE A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862608",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 S ROUTE 59 STE A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862608",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6071 W Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352624",
            "country_code": "US",
            "telephone_number": "313-966-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7633 E Jefferson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143732",
            "country_code": "US",
            "telephone_number": "313-889-5100",
            "fax_number": "313-889-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAQI",
        "first_name": "OSAMA",
        "middle_name": "MUSTAFA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "43010949888",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301094988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Health Integrated Medicine, LLC
• Michelle Purri, LCPC
• PW Group LTD
• Brianna Mae Pyle, P.T.
• Othman Masoud Qahwash, D.D.S.
• Marcos Y Que, DDS
• Erica Ann Quensen-Diez, MA, LCPC, ADTR
• Quick Enterprises of Illinois, Inc.
• Marie Quintana, LCPC
• Linda Raczak, LSW

• Interventional Cardiology Physician in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.