EVEREST MEDICAL CARE LLC
NPI 1104878339
Clinic/Center in Havertown, PA

Active since May 16, 2006
2010 W CHESTER PIKE, SUITE 118, HAVERTOWN, PA 19083(215) 200-5891(610) 649-3658 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Everest Medical Care Llc NPPES

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

EVEREST MEDICAL CARE LLC (NPI 1104878339) is a healthcare organization registered as a clinic/center in Havertown, Pennsylvania and active in the NPI registry since May 2006. The organization lists Xiaobin Li, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104878339
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVEREST MEDICAL CARE LLC
Location Address2010 W CHESTER PIKE, SUITE 118Havertown, PA 19083-2700
Mailing Address2010 W Chester Pike, Suite 118Havertown, PA 19083-2700 · (215) 200-5891 · Fax (610) 649-3658
Fax(610) 649-3658
Organization SubpartNo
Authorized OfficialXiaobin LiMedical Director · (215) 200-5891
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104878339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in PA · MD058825L
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2010 W CHESTER PIKE, Havertown, PA 19083

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Everest Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Everest Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Internal Medicine4
General Practice1

Clinicians, nearest first (10)

Internal Medicine
NPI 1346225034
2010 W CHESTER PIKE SUITE 407
Havertown, PA 19083
(610) 853-2502
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023740156
2010 W CHESTER PIKE STE 448
Havertown, PA 19083
(610) 853-2502
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1063809473
2010 W CHESTER PIKE STE 448
Havertown, PA 19083
(610) 853-2502
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184313488
6787 MARKET ST STE 101
Upper Darby, PA 19082
(610) 352-8000
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1386428399
6787 MARKET ST
Upper Darby, PA 19082
(610) 352-8000
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1861143240
6787 MARKET ST # 101
Upper Darby, PA 19082
(610) 352-8000
✔ PECOS✔ Accepts Medicare4.2 mi
General Practice
NPI 1093100141
6787 MARKET ST
Upper Darby, PA 19082
(610) 352-8000
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1326215690
175 E CHESTER PIKE
Ridley Park, PA 19078
(610) 595-6586
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1821603945
15 S DUPONT HWY
Dover, DE 19901
(302) 857-0876
✔ PECOS✔ Accepts Medicare57 mi
Internal Medicine
NPI 1306818554
50 SEAVIEW BLVD
Port Washington, NY 11050
(516) 484-6093
✔ PECOS✔ Accepts Medicare105 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2120622

Everest Medical Care LLC · Havertown, PA
Expired · Oct 19, 2026
CLIA Number39D2120622
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Xiaobin Li
Laboratory Phone(610) 853-2502
Laboratory LocationEverest Medical Care LLC2010 West Chester Pk #448, Havertown, PA 19083
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Everest Medical Care LLC's NPI number?

The NPI number for Everest Medical Care LLC is 1104878339. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Everest Medical Care LLC located?

Everest Medical Care LLC is located at 2010 W Chester Pike Suite 118, Havertown, PA 19083. The listed phone number is (215) 200-5891.

What is Everest Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Everest Medical Care LLC enrolled in Medicare?

Yes. Everest Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Everest Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Everest Medical Care LLC. 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. The largest specialties are Nurse Practitioner (5), Internal Medicine (4) and General Practice (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Everest Medical Care LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Everest Medical Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Everest Medical Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.