Evan William Conrad, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

920 Highway 352 Ste 100
Mesquite, TX 75149-6805

Phone

(972) 270-8859

NPI assigned

Jan 22, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Quality

97.48

Promoting interoperability

100

Improvement activities

40

Cost

69.64

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations (25 of 30)

Interoperability endpoints

• Direct secure messaging: econrad1243793@direct.sw.org
• Direct secure messaging: econrad36981@direct.thedacare.org
• Direct secure messaging: evan.conrad.p1@direct.urologyclinics.nextgenshare.com

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.

• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Dallas, TX
  • NPI 1720031370

  TX

  Medicare reassignment Care Compare group NPD
• Urology Clinics of North Texas, PLLC

  • Urology Physician
  • Plano, TX
  • NPI 1114186616
  NPD
• Urology Clinics of North Texas PLLC

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1528237260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1013547736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 GRAND FALLS BLVD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HIGHWAY 352 STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496805",
            "telephone_number": "972-270-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "EVAN",
        "middle_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Spine Center of Dallas
• Concentra Health Services, Inc.
• Mary Condon, PT
• Confluence Home Health
• Trang Thu Conley, D.D.S.
• Sami Elias Constantine, M.D.
• Elvira Bucton Constantino
• Marian Boko Conteh
• Candece Cooper-Charles, LPC
• Abigail Cooper, RN

• All providers in Mesquite, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.

Verify at the official NPI Registry.