Everest Medical Group Inc
NPI 1184103350 · General Practice Physician · Mesa, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Everest Medical Group Inc is a General Practice Physician organization in Mesa, AZ (NPI 1184103350).
Provider details
- NPI number
- 1184103350
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ty Ruddell, Ceo(480) 510-9475
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Everest Medical Group
Registry dates
- Enumerated
- 2018-08-08
- Last updated
- 2018-08-08
Frequently asked questions
- What is Everest Medical Group Inc's NPI number?
- Everest Medical Group Inc's National Provider Identifier (NPI) is 1184103350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Everest Medical Group Inc?
- Everest Medical Group Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Everest Medical Group Inc located?
- Everest Medical Group Inc's practice location on file with NPPES is 4864 E Baseline Rd Ste 105, Mesa, AZ 85206-4629.
- What is Everest Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Everest Medical Group Inc is (480) 558-1900.
- Does Everest Medical Group Inc accept Medicare?
- Everest Medical Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Everest Medical Group Inc?
- The authorized official listed on Everest Medical Group Inc's NPPES record is Ty Ruddell, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Everest Medical Group Inc's NPI active?
- Yes — Everest Medical Group Inc's NPI (1184103350) is active in the NPPES registry as of the last update on 2018-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.