EVEREST MEDICAL GROUP
NPI 1184103350
General Practice in Mesa, AZ
About Everest Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVEREST MEDICAL GROUP (NPI 1184103350) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since August 2018. The organization lists Ty Ruddell, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Everest Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Everest Medical Group Inc's NPI number?
The NPI number for Everest Medical Group Inc is 1184103350. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Everest Medical Group.
Where is Everest Medical Group Inc located?
Everest Medical Group Inc is located at 4864 E Baseline Rd Ste 105, Mesa, AZ 85206. The listed phone number is (480) 558-1900.
What is Everest Medical Group Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Everest Medical Group Inc enrolled in Medicare?
Yes. Everest Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Everest Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Everest Medical Group Inc. 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 Everest Medical Group Inc was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Everest Medical Group · NPI 1184103350
General Practice organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since August 8, 2018.
## Identity
- **NPI:** 1184103350 (Entity type: Organization)
- **Enumerated:** August 8, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Everest Medical Group Inc
- **Organization subpart:** No
- **Authorized official:** Ty Ruddell, CEO
## Practice location
- **Address:** 4864 E BASELINE RD STE 105, Mesa, AZ 85206-4629
- **Phone:** (480) 558-1900 · **Fax:** (480) 633-6086
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1184103350) · Data from the CMS NPPES public registry.