Individual provider Active NPI

Evan James Allan, M,D.

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1285951145
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28473 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone
(405) 271-1093
Fax
(405) 271-3013
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River View Eye Specialists PLLC 9 clinicians

Practice addresses (Care Compare)

1415 Park View Dr
Twin Falls, ID 83301-3250
Phone (208) 734-8934

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
89.7
Improvement activities
40
Cost
81.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150817002128 ID Practitioner - Ophthalmology 4981821709 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Welch and Allan, MD PA Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients
River View Eye Specialists PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Michael K Taylor, MD, & Jason T Halverson, MD, PLLC Ophthalmology Past Accepting new patients

Locations

1320 Bennett Ave
Ste H
Burley, ID 83318

1320 Bennett Ave
#A
Burley, ID 83318
Phone (208) 678-2173

314 S River St
Ste 206
Hailey, ID 83333

721 S 3rd Ave
Hailey, ID 83333

261 Canyon Crest Dr
Twin Falls, ID 83301
Phone (208) 733-5300

1415 Park View Dr
Twin Falls, ID 83301
Phone (208) 948-9572

526 Shoup Ave W
Ste H
Twin Falls, ID 83301
Phone (208) 529-6600

Interoperability endpoints

  • Direct secure messaging: eallan@waa.intellechartdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 28473 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5014
Phone (405) 271-1093

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
200337370AMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2014.

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1285951145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-1093",
            "fax_number": "405-271-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045014",
            "telephone_number": "405-271-1093",
            "fax_number": "405-271-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "EVAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "28473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200337370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.