Individual provider Active NPI

Evan G Kupec, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Pittsburgh, PA
National Provider Identifier
1043416381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1400 Locust St
Pittsburgh, PA 15219-5114
Phone
(412) 232-8111
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1400 Locust St
Pittsburgh, PA 15219-5114

Mailing address

301 Stone Gate Cir
Morgantown, WV 26505-1832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, HI, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120724000726 WV Practitioner - Diagnostic Radiology 3072779735 Reassigns benefits to 1 organization
I20241029003309 HI Practitioner - Diagnostic Radiology 3072779735 Reassigns benefits to 2 organizations
I20251016003880 NJ Practitioner - Diagnostic Radiology 3072779735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

Kailua, HI 96734
Phone (908) 598-6651

1 Springfield Ave
Summit, NJ 07901-4055
Phone (908) 598-6651

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (908) 522-6280

111 Madison Ave
Morristown, NJ 07960-6097
Phone (973) 971-6866

175 High St
Newton, NJ 07860-1004
Phone (973) 940-8730

248 Pauahilani PL
Kailua, HI 96734-3149
Phone (304) 366-2600

310 Madison Ave
Morristown, NJ 07960-6967
Phone (973) 532-7900

435 S St
Morristown, NJ 07960-6422
Phone (973) 971-6111

475 S St
Morristown, NJ 07960-6459

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 850-6842

97 W Pkwy
Chilton Medical Center
Pompton Plains, NJ 07444-1647
Phone (973) 831-5089

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Imaging Services LLC CurrentSince Nov 1, 2025 Accepting new patients
Premier Imaging and Intervention, PLLC CurrentSince Apr 28, 2020 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Nov 1, 2025 Accepting new patients
Radiological Physician Associates Inc CurrentSince Jul 1, 2012 Accepting new patients
Ancillary Services of Practice Associates PA CurrentSince Nov 1, 2025 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

700 Village Dr
Fairmont, WV 26554

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

122 Pinnell St
#720
Ripley, WV 25271
Phone (866) 871-7843

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043416381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STONE GATE CIR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPEC",
        "first_name": "EVAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.