Individual provider Active NPI

Evan Nadler, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1316931850
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U6888 Issued in TX
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5292
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD419867 PA
Surgery Physician 208600000X 204884 NY
Pediatric Surgery Physician 2086S0120X 0101270020 VA
Pediatric Surgery Physician 2086S0120X 35C.001729 OH
Pediatric Surgery Physician 2086S0120X U6888 TX
Pediatric Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0120X MD419867 PA
Pediatric Surgery Physician 2086S0120X 145828 MT
Surgery Physician 208600000X U6888 TX Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Other practice location 1

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-2151

Other practice location 2

4348 Electric Rd
Roanoke, VA 24018-0720
Phone (540) 769-0976

Other practice location 3

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA, VA, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20091009000414 DC Practitioner - Pediatric MedicinePractitioner - General Surgery 7214900471 Reassigns benefits to 1 organization
I20230901000497 PA Practitioner - General SurgeryPractitioner - Pediatric Medicine 7214900471 Reassigns benefits to 1 organization
I20230927002233 VA Practitioner - Pediatric Medicine 7214900471 Reassigns benefits to 1 organization
I20231121000186 TX Practitioner - General Surgery 7214900471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Seattle, WA 98145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204884NYMDSurgery Physician
MD419867PAMDSurgery Physician
145828MTMDPediatric Surgery Physician
35C.001729OHMDPediatric Surgery Physician
U6888TXMDPediatric Surgery Physician
0101270020VAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Oct 27, 2023 Accepting new patients
Carilion Medical Center Multi-Specialty CurrentSince Oct 27, 2023 Accepting new patients
Children'S Hospital Multi-Specialty Current Accepting new patients
STC Pediatrics LLC Multi-Specialty CurrentSince Sep 15, 2023 Accepting new patients
STC Pediatrics LLC Multi-Specialty Current Accepting new patients
Children'S Hospital CurrentSince Sep 11, 2009 Accepting new patients
STC Pediatrics LLC Multi-Specialty CurrentSince Sep 15, 2023 Accepting new patients
Baylor College of Medicine Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Children'S Hospital Multi-Specialty CurrentSince Sep 11, 2009 Accepting new patients
RCHP Billings - Missoula LLC Multi-Specialty Past Accepting new patients
STC Opco LLC Past Accepting new patients
Integris Ambulatory Care C Orporation Multi-Specialty Past Accepting new patients
Bimc Faculty Practice Multi-Specialty Past Accepting new patients
New York University Surgery Past Accepting new patients
STC Pediatrics LLC Multi-Specialty Past Accepting new patients
Carilion Medical Center Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

Interoperability endpoints

  • Direct secure messaging: enadler801714@direct.umm.edu

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1316931850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Michigan Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4348 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240180720",
            "country_code": "US",
            "telephone_number": "540-769-0976",
            "fax_number": "540-857-5383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Santa Rosa",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADLER",
        "first_name": "EVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD419867",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "204884",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101270020",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35C.001729",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "U6888",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD419867",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "145828",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U6888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.