Active NPI
William M Evans, MD
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1497722953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H3460
- Practice address
- 2400 Cedar Bend Dr.
Austin, TX 78758-2483 - Phone
- (512) 901-4031
- Fax
- (512) 901-3937
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H3460 | TX | Primary |
Addresses
Primary practice location
2400 Cedar Bend Dr.
Austin, TX 78758-2483
Mailing address
12221 Mopac Expressway North
Austin, TX 78758-2483
Phone (512) 901-4031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127679204 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3460 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1497722953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MOPAC EXPRESSWAY NORTH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582483",
"telephone_number": "512-901-4031",
"fax_number": "512-901-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CEDAR BEND DR.",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582483",
"telephone_number": "512-901-4031",
"fax_number": "512-901-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "WILLIAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H3460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127679204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.