Active NPI
James A Evanson, MD
- Nephrology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 01048633A
- Practice address
- 3801 Bellemeade Ave Ste 330
Evansville, IN 47714-0113 - Phone
- (812) 479-3125
- NPI assigned
- Jul 28, 2005
- Last updated
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5258690 | Other | AETNA | |
| 930005675 | Other | IN | RAILROAD MEDICARE |
| 86204 | Other | KY | COVENTRY CARE |
| 64881295 | Medicaid | KY | |
| 200183300 | Medicaid | IN | |
| 392107 | Other | KY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Indiana University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- DaVita East Evansville Dialysis
- FMC - Ohio Valley Dialysis Center
- DaVita Newburgh Dialysis
- Deaconess Hospital Inc
- Ascension St Vincent Evansville
- Good Samaritan Hospital
- Ascension St Vincent Warrick
- Deaconess Henderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01048633A | IN | MD | Nephrology Physician |
Interoperability endpoints
- 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.
-
dba Fresenius Medical Care Ohio Valley
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Evansville, IN
- NPI 1124045869
Dialysis facility
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Ascension St. Vincent Warrick
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
-
dba Deaconess Henderson Hospital
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.