Individual provider Active NPI

Austin Elizabeth McEvoy, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
National Provider Identifier
1518420504
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A185618 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666
Phone
(626) 304-2626
Fax
(626) 585-0695
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A185618 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666

Mailing address

625 S Fair Oaks Ave Ste 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 296-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240116004156 CA Practitioner - Obstetrics/Gynecology 4183952542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2666
Phone (626) 304-2626

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185618CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince May 6, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 6, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

625 S Fair Oaks Ave
Ste 250
Pasadena, CA 91105
Phone (626) 795-5848

625 S Fair Oaks Ave
Ste 255
Pasadena, CA 91105
Phone (626) 304-2626

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amcevoy673212@hisp.ehr.sutterhealth.org
  • Direct secure messaging: amcevoy501096@direct.cshs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1518420504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052666",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052666",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-296-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "AUSTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A185618",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.