EVERLY PROVIDER GROUP DE, P.A.
NPI 1457112773
General Practice in Austin, TX
About Everly Provider Group De, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERLY PROVIDER GROUP DE, P.A. (NPI 1457112773) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since January 2024. The organization lists Saba Haq, Ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Everly Provider Group De, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Everly Provider Group De, P.A., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 Everly Provider Group De, P.A.'s NPI number?
The NPI number for Everly Provider Group De, P.A. is 1457112773. It was assigned to this organization in the NPPES registry on January 23, 2024.
Where is Everly Provider Group De, P.A. located?
Everly Provider Group De, P.A. is located at 5209 Burnet Rd, Austin, TX 78756. The listed phone number is (888) 813-0218.
What is Everly Provider Group De, P.A.'s specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Everly Provider Group De, P.A. enrolled in Medicare?
Yes. Everly Provider Group De, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Everly Provider Group De, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Everly Provider Group De, P.A.. 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 (6), Family Practice (4) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Everly Provider Group De, P.A. was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Everly Provider Group De, P.a. · NPI 1457112773
General Practice organization in Austin, Texas. Organization record, active in the CMS NPPES registry since January 23, 2024.
## Identity
- **NPI:** 1457112773 (Entity type: Organization)
- **Enumerated:** January 23, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Saba Haq, AO
## Practice location
- **Address:** 5209 BURNET RD, Austin, TX 78756-2442
- **Phone:** (888) 813-0218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (4), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1457112773) · Data from the CMS NPPES public registry.