Everest Medical Group Inc
NPI 1184103350ActiveOrganization· General Practice· Mesa, AZ
General Practice in Mesa, Arizona, registered in NPPES in August 2018. The authorized official on file is Ty Ruddell, DC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184103350 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2018 |
| Last updated in NPPES | Aug 8, 2018 |
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 (AZ) |
|---|
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