EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1013795053
General Practice in Indianapolis, IN

Active since September 20, 2023
8888 KEYSTONE XING STE 1300, INDIANAPOLIS, IN 46240(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evernorth Care Providers - Delaware Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1013795053) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since September 2023. The organization lists Grace V Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1013795053
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address8888 KEYSTONE XING STE 1300Indianapolis, IN 46240-4600
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace V BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateSeptember 20, 2023
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1013795053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8888 KEYSTONE XING STE 1300, Indianapolis, IN 46240

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evernorth Care Providers - Delaware Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Evernorth Care Providers - Delaware PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1932336872
2223 ALGONQUIN RD
Rolling Meadows, IL 60008
(847) 777-4340
✔ PECOS✔ Accepts Medicare178 mi
Internal Medicine
NPI 1184677742
501 GREAT CIRCLE RD FL 3
Nashville, TN 37228
(615) 436-9060
✔ PECOS259 mi
Family Practice
NPI 1003043803
150 S WARNER RD STE 310
King Of Prussia, PA 19406
(773) 292-4800
✔ PECOS✔ Accepts Medicare568 mi

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 Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1013795053. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Evernorth Care Providers - Delaware PA enrolled in Medicare?

Yes. Evernorth Care Providers - Delaware PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evernorth Care Providers - Delaware PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evernorth Care Providers - Delaware PA, in Family Practice and Internal Medicine. 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 Evernorth Care Providers - Delaware PA was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.