Blake Joseph Evans, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME117404 Issued in FL

Practice address

1725 N University Dr Ste 400
Coral Springs, FL 33071-6053

Phone

(954) 752-3166

Fax

(954) 753-5628

NPI assigned

Aug 5, 2008

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

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in FL

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

University of Cincinnati College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
• University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: blakeevans@fua.medalliesdirect.net

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.

• Genesiscare USA of Florida LLC

  • Radiation Oncology Physician
  • Fort Myers, FL
  • NPI 1134109747

  Urology

  Medicare reassignment Care Compare group NPD
• Florida Urological Associates PA

  • Specialist
  • Coral Springs, FL
  • NPI 1003844747
  NPD
• Genesiscare USA of Florida LLC

  • Vascular Surgery Physician
  • Fort Myers, FL
  • NPI 1013055060
  NPD

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

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• North Broward Hospital District

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation
• University Hospital, LTD.

  • General Acute Care Hospital
  • Tamarac, FL
  • NPI 1144274770
  Care Compare affiliation

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1093971467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716053",
            "telephone_number": "954-752-3166",
            "fax_number": "954-753-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR STE 400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716053",
            "telephone_number": "954-752-3166",
            "fax_number": "954-753-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BLAKE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME117404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "368241",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "P1011066",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009591500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01230859",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7735843",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193019",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "14RS8",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4955788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doltaine Etienne
• Edward Prince Etienne
• Eugene J. Strasser, M.D., P.a.
• Ysaac Eusebio Eusebio Ramirez, MD
• Carline Eustache
• Evenly Southeast, PLLC
• Everglades Chiropractic
• Evergreen Medical Group, LLC
• Every Voice Matters LLC
• Amanda Evola, MS

• Urology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.