Individual provider

Elsie Mainali, M.D.

Pediatrics Physician Neonatal-Perinatal Medicine Physician Medicare enrolled

Elsie Mainali, M.D. is a Neonatal-Perinatal Medicine Physician in Chester, PA, registered under NPI 1528162963. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1 MEDICAL CENTER BLVD NEONATOLOGY DIVISION, Chester, PA 19013. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 MEDICAL CENTER BLVD NEONATOLOGY DIVISION, Chester, PA 19013 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
S1860 TX Pediatrics Physician
0101053213 VA Pediatrics Physician
342790 LA Neonatal-Perinatal Medicine Physician
S1860 TX Neonatal-Perinatal Medicine Physician
3061977 ID Neonatal-Perinatal Medicine Physician
0101053212 VA Neonatal-Perinatal Medicine Physician primary

Licences are recorded in 4 states: TX, VA, LA, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
5799961025

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Texas I20231211001141 Practitioner - Pediatric Medicine
Louisiana I20240710000368 Practitioner - Pediatric Medicine
Idaho I20240903002426 Practitioner - Pediatric Medicine
Iowa I20250801003355 Practitioner - Pediatric Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. There are 4 separate enrolment records across 4 states (TX, LA, ID, IA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: Idaho, Louisiana, Texas and Virginia. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

ID Idaho
Licence
3061977
Specialty
Neonatal-Perinatal Medicine Physician
Verify with the ID board →
LA Louisiana
Licence
342790
Specialty
Neonatal-Perinatal Medicine Physician
Verify with the LA board →
TX Texas
Licence
S1860
Specialty
Pediatrics Physician
Verify with the TX board →
VA Virginia
Licence
0101053213
Specialty
Pediatrics Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Neonatal-Perinatal Medicine covers

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. NUCC Health Care Provider Taxonomy, code 2080N0001X
Allopathic & Osteopathic Physicians Pediatrics Neonatal-Perinatal Medicine

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208000000X Pediatrics Physician S1860 TX
208000000X Pediatrics Physician 0101053213 VA
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine 342790 LA
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine S1860 TX
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine 3061977 ID
2080N0001X Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine 0101053212 VA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1528162963 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 7, 2006
Last updatedJul 24, 2025
StatusActive
Sole proprietorNo
GenderFemale
CredentialM.D.
Practice address 1 MEDICAL CENTER BLVD
NEONATOLOGY DIVISION
Chester, PA 19013
(610) 447-6707
Fax (610) 447-6719
Other identifiers 6730566 · Medicaid (VA)
This record was updated on Jul 24, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1528162963 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 2 8 1 6 2 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 4 8 2 6 4 9 3

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1528162963?
NPI 1528162963 is the National Provider Identifier assigned to Elsie Mainali, M.D. in Chester, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neonatal-Perinatal Medicine cover?
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.
How do I contact Elsie Mainali, M.D.?
The phone number on file with NPPES is (610) 447-6707, last updated Jul 24, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Elsie Mainali, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1528162963 a valid number?
Yes. 1528162963 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.