Individual provider Active NPI

David A Evans, DO

  • Internal Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1033111687
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS11552 Issued in FL
Practice address
13005 Southern Blvd
Suite 213
Loxahatchee, FL 33470-9206
Phone
(561) 790-4445
Fax
(561) 790-4237
NPI assigned
Aug 12, 2005
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11552 FL Primary

Addresses

Primary practice location

13005 Southern Blvd
Suite 213
Loxahatchee, FL 33470-9206

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000

Other practice location 1

12955 Palms West Drive
Ste 100 Bldg 8
Loxahatchee, FL 33470
Phone (561) 444-3887

Other identifiers 1

IdentifierTypeStateIssuer
007337000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121109000360 FL Practitioner - Internal Medicine 5597780585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13005 Southern Blvd
Loxahatchee, FL 33470-9231
Phone (561) 444-3887

140 JFK Dr
Atlantis, FL 33462-6608
Phone (561) 968-6767

5401 S Congress Ave
Atlantis, FL 33462-6636

7593 W Boynton Beach Blvd
Suite 220
Boynton Beach, FL 33437-6162

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11552FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463
Phone (561) 966-7707

12955 Palms West Dr
Ste 100
Loxahatchee, FL 33470
Phone (561) 444-3887

13005 Southern Blvd
Ste 121
Loxahatchee, FL 33470
Phone (561) 444-3887

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1033111687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000",
            "fax_number": "883-162-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD",
            "address_2": "SUITE 213",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-790-4445",
            "fax_number": "561-790-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12955 Palms West Drive",
            "address_2": "Ste 100 Bldg 8",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "33470",
            "country_code": "US",
            "telephone_number": "561-444-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007337000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.