Active NPI
Evan John Johnson, M.D.
- Vascular & Interventional Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD61165996
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-0001 - Phone
- (206) 520-5000
- NPI assigned
- May 26, 2011
- Last updated
- Apr 17, 2026
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME130781 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | MD61165996 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | C1-0027435 | DE | |
| Diagnostic Radiology Physician | 2085R0202X | V3501 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 76783 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | V3501 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD61165996 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Other practice location 1
4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840
Other practice location 2
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624
Other practice location 3
7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005
Other practice location 4
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 674-4624
Other practice location 5
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 6
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 7
11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301
Other practice location 8
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IL, TX, MI, DE, NY, CA, NM, SC, TN, NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Florida State University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
Lake Forest Park, WA 98155
Phone (903) 663-4800
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000
16262 38TH Ave NE
Lake Forest Park, WA 98155-5417
Phone (302) 744-7113
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
3603 W 48TH Ave
Kennewick, WA 99337-2721
Phone (302) 892-8889
3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0027435 | DE | MD | Diagnostic Radiology Physician |
| ME130781 | FL | MD | Diagnostic Radiology Physician |
| 76783 | TN | MD | Diagnostic Radiology Physician |
Practice roles (60 of 64)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| The Association of University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Optumcare New Mexico LLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Montclair Radiological Assoc ,PA | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Central Valley Community Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Current | Accepting new patients | |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Geisinger Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current | Accepting new patients |
| Chelan County Public Hospital District No 2 | Current | Accepting new patients | |
| Thorek Radiology Group NFP | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Vascular & Interventional Radiology | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Riverside Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| On-Line Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Humboldt Park Health | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Warren General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Chelan County Public Hospital Dist No 2 | Current | Accepting new patients | |
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Pco PC | Diagnostic Radiology | Current | Accepting new patients |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Radiology Associates of Albuquerque, PA | Diagnostic Radiology | Current | Accepting new patients |
| Grays Harbor Surgeons | Current | Accepting new patients | |
| Dickinson County Healthcare System | Diagnostic Radiology | Current | Accepting new patients |
| Red River Consultants, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Geisinger-HM Joint Venture LLC | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Thorek Memorial Hospital | Current | Accepting new patients |
Locations (25 of 49)
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550
4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
2741 Paysphere Cir
Chicago, IL 60674
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
8175 Reliable Pkwy
Chicago, IL 60686
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
901 Grant St
Harvard, IL 60033
Phone (815) 943-2961
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
1200 E Michigan Ave
Fl 1
Lansing, MI 48912
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480
777 Passaic Ave
Ste 360
Clifton, NJ 07012
20 High St
Nutley, NJ 07110
Phone (973) 281-1881
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 69
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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Cmi
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
WA
-
dba Heart and Vascular Center - Interventional Radiology Department
- Vascular & Interventional Radiology Physician
- Lansing, MI
- NPI 1629517420
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Diagnostic Radiology
-
dba UMC Radiology
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1437170313
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1639462450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "4755 OGLETOWN STANTON ROAD",
"address_purpose": "LOCATION",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"country_code": "US",
"telephone_number": "302-733-1840",
"fax_number": "302-733-1633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13813 Metro Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "855-674-4624",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7211 Wellington Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379195968",
"country_code": "US",
"telephone_number": "865-588-8005",
"fax_number": "865-588-7716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13813 Metro Pkwy",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124343",
"country_code": "US",
"telephone_number": "855-674-4624",
"fax_number": "941-883-8386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11995 Singletree Ln Ste 500",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553445349",
"country_code": "US",
"telephone_number": "952-595-1301",
"fax_number": "612-249-4903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EVAN",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME130781",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61165996",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C1-0027435",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V3501",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "76783",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "V3501",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD61165996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.