Individual provider Active NPI

Evan Pappas, DO

  • Diagnostic Radiology Physician
  • Aurora, CO
National Provider Identifier
1285039453
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0065802 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Oct 29, 2014
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X DR.0065802 CO
Diagnostic Radiology Physician 2085R0202X DO208579 OR
Diagnostic Radiology Physician 2085R0202X IP1529 KY
Diagnostic Radiology Physician 2085R0202X DR.0065802 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

12401 E 17TH Ave
Aurora, CO 80045-2548
Phone (720) 848-0000

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address epappascontractstaff290348@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220706002386 TX Practitioner - Diagnostic Radiology 5193024388 Reassigns benefits to 2 organizations
I20240405000007 OR Practitioner - Diagnostic Radiology 5193024388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Col of Osteo Med of the Pacific at Lebanon, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 758-5047

1700 Geary St SE
Suite 400
Albany, OR 97322-6842
Phone (541) 812-5655

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

3615 NW Samaritan Dr
Suite 101
Corvallis, OR 97330-3756
Phone (541) 768-5187

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-7300

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 475-4710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
85.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IP1529KYMDDiagnostic Radiology Physician
DO208579ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 30, 2022 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Corvallis Radiology PC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
University Physicians Incorporated Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

1500 Park Central Dr
Ste 203
Highlands Ranch, CO 80129
Phone (720) 516-2100

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

777 NW 9th St
Ste 210C
Corvallis, OR 97330
Phone (541) 452-8002

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 9

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 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1285039453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E 17TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452548",
            "telephone_number": "720-848-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CO",
            "license": "DR.0065802",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO208579",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "IP1529",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0065802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epappascontractstaff290348@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.