Active NPI
Daniel Dieter Evans, MD
- Urology Physician
- Columbus, OH
National Provider Identifier
1154987600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 57.248345
- Practice address
- 915 Olentangy River Rd
Columbus, OH 43212-3153 - Phone
- (614) 293-4889
- NPI assigned
- May 10, 2019
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 14278986-1205 | UT | |
| Urology Physician | 208800000X | 57.248345 | OH | Primary |
Addresses
Primary practice location
915 Olentangy River Rd
Columbus, OH 43212-3153
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1380 E Medical Center Dr Ste 2100
St George, UT 84790-2129
Phone (435) 251-3250
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625003463 | OH | Practitioner - Urology | 7012244940 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Utah School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1330 Coshocton Ave
Mount Vernon, OH 43050-1440
1380 E Medical Ctr Dr
Suite 2100
St George, UT 84790-2129
Phone (435) 251-3250
430 Altair Pkwy
Suite 200
Westerville, OH 43082-7647
Phone (614) 818-0215
Hospital & facility affiliations
- Knox Community Hospital
- Mount Carmel St Ann'S
- Riverside Methodist Hospital
- Grant Medical Center
- St. George Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14278986-1205 | UT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Urology Corp | Urology | Current | Accepting new patients |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients |
Locations
1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019
477 Cooper Rd
Ste 220
Westerville, OH 43081
Phone (614) 818-0215
430 Altair Pkwy
Ste 200
Westerville, OH 43082
Phone (614) 818-0215
Interoperability endpoints
- danielevans@kch.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
Hospital & facility affiliations 6
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": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1154987600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123153",
"telephone_number": "614-293-4889"
}
],
"practiceLocations": [
{
"address_1": "1380 E Medical Center Dr Ste 2100",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847902129",
"country_code": "US",
"telephone_number": "435-251-3250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "DANIEL",
"middle_name": "DIETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "14278986-1205",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "57.248345",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.