Active NPI
Matthew J Evon, MD
- Diagnostic Radiology Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01061028
- Practice address
- 1201 S Main St
Crown Point, IN 46307-8481 - Phone
- (219) 757-6320
- Fax
- (219) 738-6714
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01061028 | IN | Primary |
Addresses
Primary practice location
1201 S Main St
Crown Point, IN 46307-8481
Mailing address
55 E 86TH Ave
PO Box 10645
Merrillville, IN 46410-6382
Phone (219) 769-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Franciscan Way
Hospital
Michigan City, IN 46360-0021
Phone (219) 879-8511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061028 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Franciscan Physician Network | Past | Accepting new patients |
Locations
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
1201 S Main St
Ste 1
Crown Point, IN 46307
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226
Interoperability endpoints
- mevon58275@direct.franciscanalliance.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1003894437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 86TH AVE",
"address_2": "PO BOX 10645",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106382",
"telephone_number": "219-769-1670",
"fax_number": "219-738-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6320",
"fax_number": "219-738-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVON",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01061028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.