Individual provider Active NPI

Daniel Adrian Evans, M.D.

  • Psychosomatic Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1629369467
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MD2014-0815 Issued in NM
Practice address
Unm Department of Psychiatry
1 University of New Mexico Msc09 5030
Albuquerque, NM 87131-0001
Phone
(505) 272-2223
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X MD2014-0815 NM Primary

Addresses

Primary practice location

Unm Department of Psychiatry
1 University of New Mexico Msc09 5030
Albuquerque, NM 87131-0001

Mailing address

Unm Department of Psychiatry
1 University of New Mexico Msc09 5030
Albuquerque, NM 87131-0001
Phone (505) 272-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 24, 2018 Accepting new patients
Health and Human Services Commission CurrentSince Sep 24, 2018 Accepting new patients
Health and Human Services Commission Current Accepting new patients

Locations

4110 Guadalupe St
Austin, TX 78751
Phone (512) 419-2731

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.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1629369467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNM DEPARTMENT OF PSYCHIATRY",
            "address_2": "1 UNIVERSITY OF NEW MEXICO MSC09 5030",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNM DEPARTMENT OF PSYCHIATRY",
            "address_2": "1 UNIVERSITY OF NEW MEXICO MSC09 5030",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DANIEL",
        "middle_name": "ADRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NM",
            "license": "MD2014-0815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.