Individual provider Active NPI

Evan H Crain, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newark, DE
National Provider Identifier
1598745408
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
CI0004632 Issued in DE
Practice address
4051 Ogletown Rd Ste 103
Newark, DE 19713-3101
Phone
(302) 731-2888
Fax
(302) 731-7049
NPI assigned
Jan 18, 2006
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X CI0004632 DE
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X CI0004632 DE Primary

Addresses

Primary practice location

4051 Ogletown Rd Ste 103
Newark, DE 19713-3101

Mailing address

211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100122000138 DE Practitioner - Orthopedic Surgery 7113990755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

4051 Ogletown Stanton Rd
Suite 103
Newark, DE 19713-3101
Phone (302) 731-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
96
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement71
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)57
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CI0004632DEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics PA Orthopaedic Surgery Current Accepting new patients
First State Orthopaedics PA CurrentSince Jan 1, 2000 Accepting new patients
First State Orthopaedics PA CurrentSince Jan 1, 2000 Accepting new patients
First State Orthopaedics, PA Orthopaedic Surgery Past Accepting new patients

Locations

239 Christiana Rd
New Castle, DE 19720
Phone (302) 322-0860

211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800

4051 Ogletown Stanton Rd
Ste 103
Newark, DE 19713

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

4745 Stanton Ogletown Rd
Ste 225
Newark, DE 19713
Phone 30273128881001

1401 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 478-5500

Interoperability endpoints

  • Direct secure messaging: evan.crain.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 4

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1598745408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 OGLETOWN RD STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133101",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "EVAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "CI0004632",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "DE",
            "license": "CI0004632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.