Evan Carlos, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD61120255 Issued in WA

Practice address

1401 E Trent Ave # 200
Spokane, WA 99202-2902

Phone

(509) 747-3147

NPI assigned

Apr 2, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Urology

Education

Loyola University of Chicago, Stritch School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
• Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Newport Community Hospital Hospital, Newport, WA, CCN 501310
• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

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.

• Spokane Urology PLLC

  • Urology Physician
  • Spokane, WA
  • NPI 1912015439
  Medicare reassignment Care Compare group NPD
• Spokane Urology PLLC

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
  • NPI 1538870134

  Urology

  NPD

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

• Multicare Health System

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1356528269
  Care Compare affiliation
• Pend Oreille County Public Hospital District No 1

  • Critical Access Hospital
  • Newport, WA
  • NPI 1780778423
  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Care Compare affiliation
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1225289895
  Care Compare affiliation

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1063807477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD61120255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecarlos1743298@wm.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "Spokane Urology PLLC",
            "address_1": "1401 E Trent Ave # 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992022902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scott H Carleton, MD
• Derek Lyle Carley, APRN
• Patricia Ann Carlisle
• Wesley Carlisle, BEHAVIOR SUPPORT SPE
• Pamela Mary Carlon
• Shasta Lee Carlsen
• Aarick Carlson, OD
• Alida Bernadette Carlson, OD
• Angela Carlson
• Brent R Carlson, RPH

• Urology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Urology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.