Evangela L Anderson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1534 Issued in TX

Practice address

1407 S Fleishel Ave
Ste. 301
Tyler, TX 75701-3388

Phone

(903) 593-6104

Fax

(903) 597-8931

NPI assigned

Aug 9, 2006

Last updated

May 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

87.64 of 100Reported as group

Quality

76.13

Improvement activities

40

Cost

69.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
  • NPI 1992075063
  Medicare reassignment Authorized official
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1285644302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S FLEISHEL AVE",
            "address_2": "STE. 301",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013388",
            "telephone_number": "903-593-6104",
            "fax_number": "903-597-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S FLEISHEL AVE",
            "address_2": "STE. 301",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013388",
            "telephone_number": "903-593-6104",
            "fax_number": "903-597-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EVANGELA",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Anderson
• Alonna R Anderson
• Anthony Anderson, P.A.
• Candice Anderson
• Courtney Anderson
• Heather Anderson
• Jason Anderson, D.O.
• Lawrence Lazelle Anderson, MD
• Mark R Anderson, MD
• Rachel Audrey Anderson, CCC-SLP

• Foot & Ankle Surgery Podiatrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.

Verify at the official NPI Registry.