Individual provider Active NPI

Billy Joe Evans, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1114942422
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25779 Issued in AZ
Practice address
7330 N 99TH Ave Ste 325
Glendale, AZ 85307-3022
Phone
(480) 398-7620
Fax
(480) 398-7621
NPI assigned
Jul 13, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25779 AZ Primary

Addresses

Primary practice location

7330 N 99TH Ave Ste 325
Glendale, AZ 85307-3022

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other practice location 1

3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161

Other practice location 2

4136 N 75th Ave
Suite 101
Phoenix, AZ 85033-3171
Phone (623) 849-2220

Other identifiers 1

IdentifierTypeStateIssuer
426511MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040217000861 AZ Practitioner - Family Practice 7911809140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7330 N 99TH Ave
Suite 325
Glendale, AZ 85307-3022
Phone (480) 840-1769

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25779AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Mar 1, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Mar 5, 2018 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

7330 N 99th Ave
Ste 325
Glendale, AZ 85307
Phone (480) 398-7620

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

Interoperability endpoints

  • Direct secure messaging: billy.evans.1@14502.direct.athenahealth.com
  • Direct secure messaging: billy.evansiii.1@33227.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1114942422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 99TH AVE STE 325",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073022",
            "telephone_number": "480-398-7620",
            "fax_number": "480-398-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853921208",
            "country_code": "US",
            "telephone_number": "623-882-9161",
            "fax_number": "623-925-0745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4136 N 75th Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850333171",
            "country_code": "US",
            "telephone_number": "623-849-2220",
            "fax_number": "623-849-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BILLY",
        "middle_name": "JOE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426511",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.