Individual provider Active NPI

Jerome Evans, AU.D

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1093007437
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80325 Issued in TX
Practice address
5282 Medical Dr Ste 105
San Antonio, TX 78229-4983
Phone
(210) 474-6766
Fax
(210) 568-6164
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80325 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 105
San Antonio, TX 78229-4983

Mailing address

5282 Medical Dr Ste 105
San Antonio, TX 78229-4983
Phone (210) 474-6766

Other practice location 1

4710 Bellaire Blvd Ste 325
Bellaire, TX 77401-4127
Phone (800) 216-9178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002192 TX Practitioner - Qualified Audiologist 6204148927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cochlear Clinical Services, LLCGroup PAC ID 5799094496, 2 clinicians

Practice addresses (Care Compare)

5282 Medical Dr
San Antonio, TX 78229-4983
Phone (210) 474-6766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80325TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cochlear Clinical Services, LLC Audiologist CurrentSince Sep 22, 2017 Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

4710 Bellaire Blvd
Ste 325
Bellaire, TX 77401
Phone (713) 668-9800

21 Spurs Ln
Ste 160
San Antonio, TX 78240
Phone (210) 696-3200

5282 Medical Dr
Ste 105
San Antonio, TX 78229
Phone (210) 474-6766

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1093007437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294983",
            "telephone_number": "210-474-6766",
            "fax_number": "210-568-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294983",
            "telephone_number": "210-474-6766",
            "fax_number": "210-568-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Bellaire Blvd Ste 325",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014127",
            "country_code": "US",
            "telephone_number": "800-216-9178",
            "fax_number": "800-216-9134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.