Individual provider Active NPI

James A Evanson, MD

  • Nephrology Physician
  • Evansville, IN
National Provider Identifier
1093715435
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01048633A Issued in IN
Practice address
3801 Bellemeade Ave Ste 330
Evansville, IN 47714-0113
Phone
(812) 479-3125
NPI assigned
Jul 28, 2005
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01048633A IN
Nephrology Physician 207RN0300X 01048633A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 330
Evansville, IN 47714-0113

Mailing address

PO Box 13059
Belfast, ME 04915-4021

Other identifiers 6

IdentifierTypeStateIssuer
5258690OtherAETNA
930005675OtherINRAILROAD MEDICARE
86204OtherKYCOVENTRY CARE
64881295MedicaidKY
200183300MedicaidIN
392107OtherKYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081010000057 KY Practitioner - NephrologyPractitioner - Internal Medicine 4183635527 Reassigns benefits to 1 organization
I20100304000003 IN Practitioner - NephrologyPractitioner - Internal Medicine 4183635527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates, LLCGroup PAC ID 4688610637, 8 clinicians

Practice addresses (Care Compare)

1151 W Buena Vista Rd
North Evansville/ Davita Dialysis
Evansville, IN 47710-3334
Phone (812) 401-0140

1312 Professional Blvd
Evansville, IN 47714-8007
Phone (812) 491-6304

230 Bellemeade Ave
Evansville, IN 47713-1771
Phone (812) 425-4111

2809 Lincoln Ave
Suite 130
Evansville, IN 47714-1752
Phone (812) 297-5780

4311 Hwy 261
Suite a
Newburgh, IN 47630-2653
Phone (812) 853-2010

5301 Pearl Dr
Evansville, IN 47712-8111
Phone (812) 467-0161

70 N Garden Mile Rd
Henderson, KY 42420-5529
Phone (270) 830-0050

953 S Kenmore Dr
Evansville, IN 47714-7514
Phone (812) 491-6419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.46
Promoting interoperability
100
Improvement activities
40
Cost
79.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048633AINMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: jevanson25514@direct.deaconess.com

Organizations & group practices 1

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 8

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1093715435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13059",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 330",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140113",
            "telephone_number": "812-479-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANSON",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048633A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01048633A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5258690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930005675",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY CARE",
            "identifier": "86204",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64881295",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200183300",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "392107",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.