Individual provider Active NPI

Evan Scot Trost IX, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1013976349
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32075 Issued in AZ
Practice address
8328 E. Hartford Dr.
Scottsdale, AZ 85255
Phone
(480) 214-9720
Fax
(480) 214-9722
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32075 AZ Primary

Addresses

Primary practice location

8328 E. Hartford Dr.
Scottsdale, AZ 85255

Mailing address

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258-3243
Phone (480) 534-1045

Other identifiers 1

IdentifierTypeStateIssuer
875669MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001062 AZ Practitioner - Family Practice 7214907393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC CurrentSince May 22, 2012 Accepting new patients
Scottsdale Inpatient Specialists, PLC Past Accepting new patients

Locations

8328 E Hartford Dr
Scottsdale, AZ 85255
Phone (480) 214-9720

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1013976349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "address_2": "STE D354",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583243",
            "telephone_number": "480-534-1045",
            "fax_number": "480-214-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8328 E. HARTFORD DR.",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-214-9720",
            "fax_number": "480-214-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROST",
        "first_name": "EVAN",
        "middle_name": "SCOT",
        "name_suffix": "IX",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875669",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.