Evernorth Care Providers - Delaware PA
NPI 1033981097ActiveOrganization· General Practice· Irving, TX
General Practice in Irving, Texas, registered in NPPES in October 2023. The authorized official on file is Grace Blue, Credentialing Sr. Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033981097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2023 |
| Last updated in NPPES | Nov 17, 2023 |
| Certified by provider | Nov 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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