Individual provider Active NPI

Ryan V Evans, M.D.

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1245242981
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
244055 Issued in NY
Practice address
20 Hagen Dr
Suite 300
Rochester, NY 14625-2666
Phone
(585) 586-7550
Fax
(585) 586-7588
NPI assigned
Aug 12, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 244055 NY Primary

Addresses

Primary practice location

20 Hagen Dr
Suite 300
Rochester, NY 14625-2666

Mailing address

20 Hagen Dr
Suite 300
Rochester, NY 14625-2666
Phone (585) 586-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080721000368 NY Practitioner - Neurology 4981777224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Associates of Rochester PCGroup PAC ID 0749375442, 7 clinicians

Practice addresses (Care Compare)

20 Hagen Dr
Suite 300
Rochester, NY 14625-2664
Phone 5855867550101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244055NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Nov 8, 2014 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 8, 2014 Accepting new patients
Neurology Associates of Rochester PC Neurology CurrentSince Aug 1, 2010 Accepting new patients
University of Rochester PastSince Nov 8, 2014 Accepting new patients

Locations

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

20 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 586-7550

Interoperability endpoints

  • Direct secure messaging: ryanevans@neurologyassociates.medentdirect.com

Organizations & group practices 4

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 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1245242981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR",
            "address_2": "SUITE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252666",
            "telephone_number": "585-586-7550",
            "fax_number": "585-586-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR",
            "address_2": "SUITE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252666",
            "telephone_number": "585-586-7550",
            "fax_number": "585-586-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RYAN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "244055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.