NPIMap

Individual provider Active NPI

Winston E Evalle, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • The Villages, FL
National Provider Identifier
1265444202
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME80483 Issued in FL
Practice address
3351 Wedgewood LN
The Villages, FL 32162-7181
Phone
(352) 259-0364
Fax
(352) 259-2174
NPI assigned
Aug 11, 2006
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME80483 FL
Internal Medicine Physician 207R00000X ME80483 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME80483 FL Primary

Addresses

Primary practice location

3351 Wedgewood LN
The Villages, FL 32162-7181

Mailing address

3351 Wedgewood LN
The Villages, FL 32162-7181
Phone (352) 259-0364

Other identifiers 3

IdentifierTypeStateIssuer
P00061439OtherFLRR MEDICARE
58634OtherFLBC/BS
259469200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000072 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0446156319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3351 Wedgewood LN
The Villages, FL 32162-7181
Phone (352) 259-0364

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villages Internal Medicine and Senior Clinic PA Internal Medicine CurrentSince Aug 14, 2003 Accepting new patients
Bluestone Physician Services Southeast LLC Family Medicine Past Accepting new patients
Rural Medical Associates Inc Past Accepting new patients

Locations

3351 Wedgewood Ln
The Villages, FL 32162
Phone (352) 259-0364

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEFAA/Endpoint/BJEFAA
  • Direct secure messaging: wevalle563584@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1265444202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627181",
            "telephone_number": "352-259-0364",
            "fax_number": "352-259-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321627181",
            "telephone_number": "352-259-0364",
            "fax_number": "352-259-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVALLE",
        "first_name": "WINSTON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80483",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80483",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME80483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00061439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "58634",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259469200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.