EMERALD MEDICAL NY PC
NPI 1508605973
General Practice in Austin, TX

Active since May 23, 2024
5209 BURNET RD UNIT 300, AUSTIN, TX 78756(855) 422-3855 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emerald Medical Ny Pc NPPES

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

EMERALD MEDICAL NY PC (NPI 1508605973), doing business as Everly Provider Group Ny, is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since May 2024. The organization lists Saba Haq, Ao, as its authorized official.

NPPES Registry Identity

NPI1508605973
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEMERALD MEDICAL NY PC
Location Address5209 BURNET RD UNIT 300Austin, TX 78756-2443
Mailing Address5209 Burnet Rd Unit 300Austin, TX 78756-2443
Organization SubpartNo
Authorized OfficialSaba HaqAo · (949) 463-0650
Enumeration DateMay 23, 2024
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1508605973 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
5209 BURNET RD UNIT 300, Austin, TX 78756

Other Names 2

Doing Business AsEverly Provider Group Ny
Former Legal Business NameEmerald Medical Ny Pc

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)

Emerald Medical Ny Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Emerald Medical Ny PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Hospitalist
NPI 1417904962
3201 KINGS HWY
Brooklyn, NY 11234
(718) 951-2800
✔ PECOS✔ Accepts Medicare1,511 mi
Nurse Practitioner
NPI 1407264625
3 LYON PL
Ogdensburg, NY 13669
(315) 394-7542
✔ PECOS1,564 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 Emerald Medical Ny PC's NPI number?

The NPI number for Emerald Medical Ny PC is 1508605973. It was assigned to this organization in the NPPES registry on May 23, 2024. The provider is doing business as Everly Provider Group NY.

Where is Emerald Medical Ny PC located?

Emerald Medical Ny PC is located at 5209 Burnet Rd Unit 300, Austin, TX 78756. The listed phone number is (855) 422-3855.

What is Emerald Medical Ny PC's specialty?

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

Is Emerald Medical Ny PC enrolled in Medicare?

Yes. Emerald Medical Ny PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald Medical Ny PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Emerald Medical Ny PC, in Hospitalist and Nurse Practitioner. 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 Emerald Medical Ny PC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.