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DR. ELSIE S MAINALI M.D.
NPI 1528162963
Pediatrics - Neonatal-Perinatal Medicine in Chester, PA

Active since September 07, 2006PECOS Enrolled
1 MEDICAL CENTER BLVD, NEONATOLOGY DIVISION, CHESTER, PA 19013(610) 447-6707(610) 447-6719 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Elsie S Mainali M.d. NPPES

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

DR. ELSIE S MAINALI M.D. (NPI 1528162963) is an individual neonatal-perinatal medicine provider in Chester, Pennsylvania, licensed in Virginia (0101053212) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1528162963
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ELSIE S MAINALICredential: M.D.
Location Address1 MEDICAL CENTER BLVD, NEONATOLOGY DIVISIONChester, PA 19013-3902
Mailing Address1 Medical Center BlvdChester, PA 19013-3902 · (610) 447-6707 · Fax (610) 447-6719
Phone(610) 447-6707
Fax(610) 447-6719
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1528162963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in VA · 0101053212✔ Licensed in LA · 342790✔ Licensed in TX · S1860✔ Licensed in ID · 3061977
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License S1860 (TX), 0101053213 (VA)
1 MEDICAL CENTER BLVD, Chester, PA 19013
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Secondary Practice Locations 3

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-1800
Location 21453 E Bert Koun LoopShreveport, LA 71105-6800 · Phone (318) 681-7379
Location 32003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-4000

Other Identifiers 1

Medicaid6730566VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, Oscar Health, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elsie S Mainali M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Elsie Mainali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Iowa Hospital Corporation
958 mi
Family Medicine
2720 8TH ST SW
Altoona, IA 50009
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1902857618 (515) 967-0133
Christus Trinity Clinic Texas
1,226 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Louisiana and Texas enrollments
  • 213 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Kootenai Health, Inc.
2,115 mi
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HELEN MCCARTHY DO
Pediatrics
1 MEDICAL CENTER BLVD, POB1, SUITE402
CHESTER, PA 19013
Delaware County (610) 447-6680
DR. ERIC JOHN URNOSKI PHARMD
Pharmacist
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2860
DR. LEONARD F HIRSH MD
Neurological Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 428
CHESTER, PA 19013
Delaware County (610) 874-4044
CROZER ADULT DAY CENTERS - AS
Respite Care
1 MEDICAL CENTER BLVD, SILBERMAN CENTER
UPLAND, PA 19013
Delaware County (610) 447-2935
HEALTH ACCESS NETWORK
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD, ACP #334
CHESTER, PA 19013
Delaware County (610) 872-7660
PROSPECT HEALTH ACCESS NETWORK, INC.
Psychiatry & Neurology (Neurology)
1 MEDICAL CENTER BLVD, ACP STE 533
CHESTER, PA 19013
Delaware County (610) 874-1184
PROSPECT HEALTH ACCESS NETWORK, INC.
Transplant Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 220
CHESTER, PA 19013
Delaware County (610) 619-8420
HANNAH TEPLITZKY DO
Family Medicine
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2000

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 Elsie Mainali's NPI number?

The NPI number for Elsie Mainali is 1528162963. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Elsie Mainali located?

Elsie Mainali practices at 1 Medical Center Blvd Neonatology Division, Chester, PA 19013. The listed phone number is (610) 447-6707.

What is Elsie Mainali's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Elsie Mainali enrolled in Medicare?

Yes. Elsie Mainali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elsie Mainali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsie Mainali reassigns Medicare benefits to 3 organizations: Central Iowa Hospital Corporation (Altoona, IA), Christus Trinity Clinic Texas (Tyler, TX) and Kootenai Health, Inc. (Coeur D Alene, ID). Each 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 Elsie Mainali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsie Mainali accept?

Health plans from HMO Louisiana, Oscar Health, Providence Health Plan and Wellmark Health Plan of Iowa, Inc. list Elsie Mainali 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 Elsie Mainali was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.