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

NPI Status: Active since May 16, 2006

Contact Information

2010 W CHESTER PIKE
SUITE 118
HAVERTOWN, PA
ZIP 19083
Phone: (215) 200-5891
Fax: (610) 649-3658

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 39D2120622
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-19-2026

About EVEREST MEDICAL CARE LLC

This page provides the complete NPI Profile along with additional information for Everest Medical Care Llc, a provider established in Havertown, Pennsylvania operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104878339 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X with license number MD058825L (PA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Xiaobin Li M.d. (Medical Director)

NPI
1104878339
Provider Name
EVEREST MEDICAL CARE LLC
Entity Type
Organization
Location Address
2010 W CHESTER PIKE SUITE 118 HAVERTOWN, PA 19083
Location Phone
(215) 200-5891
Location Fax
(610) 649-3658
Mailing Address
2010 W CHESTER PIKE SUITE 118 HAVERTOWN, PA 19083
Mailing Phone
(215) 200-5891
Mailing Fax
(610) 649-3658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
MD058825L
License State
PA
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

XIAOBIN LI M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(215) 200-5891

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2120622
Facility Type
Physician Office
Certificate Effective Date
October 20, 2024
Certificate Expiration Date
October 19, 2026
Laboratory Director
DR. XIAOBIN LI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Everest Medical Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EVEREST MEDICAL CARE LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104878339, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 7 + 1 + 6 + 3 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104878339.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2010 W CHESTER PIKE
HAVERTOWN, PA 19083
Nurse Anesthetist, Certified Registered
2010 W CHESTER PIKE, STE 212
HAVERTOWN, PA 19083
Nurse Anesthetist, Certified Registered
2010 W CHESTER PIKE, STE 330
HAVERTOWN, PA 19083
Nurse Anesthetist, Certified Registered
2010 W CHESTER PIKE, SUITE 330
HAVERTOWN, PA 19083
Internal Medicine
2010 W CHESTER PIKE, SUITE 407
HAVERTOWN, PA 19083
Dentist (Oral and Maxillofacial Surgery)
2010 W CHESTER PIKE, SUITE 128
HAVERTOWN, PA 19083
Dentist (Oral and Maxillofacial Surgery)
2010 W CHESTER PIKE, SUITE 128
HAVERTOWN, PA 19083
Psychiatry & Neurology (Psychiatry)
2010 W CHESTER PIKE, SUITE 407
HAVERTOWN, PA 19083
Clinic/Center (Rehabilitation, Substance Use Disorder)
2010 W CHESTER PIKE, SUITE 314
HAVERTOWN, PA 19083
Radiology (Radiation Oncology)
2010 W CHESTER PIKE, SUITE 115
HAVERTOWN, PA 19083
Clinic/Center (Medical Specialty)
2010 W CHESTER PIKE, SUITE 310
HAVERTOWN, PA 19083
Dentist (General Practice)
2010 W CHESTER PIKE, SUITE 420
HAVERTOWN, PA 19083
Clinic/Center (Research)
2010 W CHESTER PIKE, SUITE 407
HAVERTOWN, PA 19083
Counselor (Professional)
2010 W CHESTER PIKE, SUITE 314
HAVERTOWN, PA 19083
Ophthalmology
2010 W CHESTER PIKE, WELLNESS CENTER; SUITE 310
HAVERTOWN, PA 19083
Mechanotherapist
2010 W CHESTER PIKE, #407
HAVERTOWN, PA 19083
Internal Medicine
2010 W CHESTER PIKE, SUITE 344
HAVERTOWN, PA 19083
Physical Therapist
2010 W CHESTER PIKE, SUITE 450
HAVERTOWN, PA 19083
Podiatrist
2010 W CHESTER PIKE, 344
HAVERTOWN, PA 19083
Counselor (Professional)
2010 W CHESTER PIKE
HAVERTOWN, PA 19083

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104878339, enumerated as an "organization" on May 16, 2006.

The provider is located at 2010 W CHESTER PIKE SUITE 118 HAVERTOWN, PA 19083 and the phone number is (215) 200-5891.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.