NPIMap

Individual provider Active NPI

Steven Mark Evans, D.O.

  • Occupational Medicine Physician
  • Wyomissing, PA
National Provider Identifier
1336149186
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
OS005307L Issued in PA
Practice address
2607 Keiser Boulevard
Suite 200
Wyomissing, PA 19610
Phone
(484) 509-0840
Fax
(610) 678-2100
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS005307L PA
Occupational Medicine Physician 2083X0100X OS005307L PA Primary

Addresses

Primary practice location

2607 Keiser Boulevard
Suite 200
Wyomissing, PA 19610

Mailing address

2607 Keiser Boulevard
Suite 200
Wyomissing, PA 19610
Phone (484) 509-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040722000965 PA Practitioner - Emergency Medicine 2264412915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Orthopaedic Specialists,LLCGroup PAC ID 2062547920, 26 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Surgical Institute of Reading Hospital, Wyomissing, PA, CCN 390316

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as individual
Quality
59.35
Promoting interoperability
100
Improvement activities
40
Cost
76.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince May 1, 2010 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Dec 1, 2008 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince May 1, 2010 Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2607 Keiser Blvd
Ste 200
Wyomissing, PA 19610
Phone (484) 509-0840

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140

Interoperability endpoints

  • Direct secure messaging: steven.evans.1@2277.direct.athenahealth.com

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 8

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1336149186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KEISER BOULEVARD",
            "address_2": "SUITE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "484-509-0840",
            "fax_number": "610-678-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KEISER BOULEVARD",
            "address_2": "SUITE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "484-509-0840",
            "fax_number": "610-678-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS005307L",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "OS005307L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.