Evernorth Care Providers - Delaware PA
NPI 1013795053ActiveOrganization· General Practice· Indianapolis, IN
General Practice in Indianapolis, Indiana, registered in NPPES in September 2023. The authorized official on file is Grace V. Blue, Credentialing Sr. Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013795053 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2023 |
| Last updated in NPPES | Jan 24, 2024 |
| Certified by provider | Jan 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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