Individual provider Active NPI

Larry Arthur Evans, MD

  • Dermatology Physician
  • Newport News, VA
National Provider Identifier
1083682439
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101045546 Issued in VA
Practice address
11844 Rock Landing Dr Ste B
Newport News, VA 23606-4202
Phone
(757) 873-0161
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD12909 RI
Dermatology Physician 207N00000X CMD12909 RI
Dermatology Physician 207N00000X 0101045546 VA Primary

Addresses

Primary practice location

11844 Rock Landing Dr Ste B
Newport News, VA 23606-4202

Mailing address

11844 Rock Landing Dr Ste B
Newport News, VA 23606-4202
Phone (757) 873-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231221000749 VA Practitioner - Dermatology 9638220767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Dermatology Skin Cancer Surgery Center, IncGroup PAC ID 4486749223, 10 clinicians

Practice addresses (Care Compare)

11844 Rock Landing Dr
Suite B
Newport News, VA 23606-4202
Phone (757) 873-0161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions1715
Removal or shaving of skin growth1-10
Skin biopsy659

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212503MAMDClinical Social Worker
CMD12909RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Coastal Dermatology Inc Dermatology Past Accepting new patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology PastSince May 12, 2024 Accepting new patients

Locations

11844 Rock Landing Dr
Ste B
Newport News, VA 23606
Phone (757) 873-0161

475 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 259-9466

1601 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 259-9466

Interoperability endpoints

  • Direct secure messaging: larry@skinpros.emadirect.md

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1083682439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064202",
            "telephone_number": "757-873-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064202",
            "telephone_number": "757-873-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LARRY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD12909",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "CMD12909",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101045546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.