Individual provider Active NPI

Robert Francis McEvoy, M.D.

  • Internal Medicine Physician
  • Bangor, PA
National Provider Identifier
1629025093
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD020627-E Issued in PA
Practice address
125 S 1St St
Bangor, PA 18013-2615
Phone
(610) 588-8282
Fax
(610) 588-5161
NPI assigned
May 30, 2006
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD020627-E PA Primary

Addresses

Primary practice location

125 S 1St St
Bangor, PA 18013-2615

Mailing address

125 S 1St St
Bangor, PA 18013-2615
Phone (610) 588-8282

Other identifiers 1

IdentifierTypeStateIssuer
1031214970001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100708000096 PA Practitioner - Internal Medicine 6709917727 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020627-EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Apr 1, 2010 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 1, 2010 Accepting new patients
Steward Medical Group Inc. Internal Medicine Current Accepting new patients

Locations

125 S 1st St
Bangor, PA 18013
Phone (610) 588-8282

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1629025093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 1ST ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132615",
            "telephone_number": "610-588-8282",
            "fax_number": "610-588-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 1ST ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132615",
            "telephone_number": "610-588-8282",
            "fax_number": "610-588-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD020627-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031214970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.