Elite Physicians Medical Group Inc
NPI 1528802956ActiveOrganization· Family Medicine· Hickory Hills, IL
Family Medicine in Hickory Hills, Illinois, registered in NPPES in June 2024. The authorized official on file is Abdelkhaliq Isam Qasem, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528802956 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2024 |
| Last updated in NPPES | Apr 2, 2026 |
| Certified by provider | Apr 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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