Individual provider Active NPI

Michael K McEvoy, M.D.

  • Family Medicine Physician
  • Eldersburg, MD
National Provider Identifier
1669558219
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0033681 Issued in MD
Practice address
1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464
Phone
(410) 795-2233
Fax
(410) 795-2233
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0033681 MD Primary

Addresses

Primary practice location

1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464

Mailing address

1380 Progress Way
Suite 114
Eldersburg, MD 21784-6464
Phone (410) 795-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100615000371 MD Practitioner - Family Practice 8729118914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carroll Primary Care, PAGroup PAC ID 2668447533, 7 clinicians

Practice addresses (Care Compare)

1380 Progress Way
Suite 114
Eldersburg, MD 21784-6499
Phone (410) 795-2233

912 Washington Rd
Hunter Professional Center
Westminster, MD 21157-5827
Phone (410) 848-4121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0033681MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Primary Care, PA Family Medicine CurrentSince Jan 1, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Promptcare, PA Family Medicine Past Accepting new patients

Locations

1380 Progress Way
Ste 114
Sykesville, MD 21784
Phone (410) 795-1888

912 Washington Rd
Ste B
Westminster, MD 21157
Phone (410) 848-1670

912 Washington Rd
Westminster, MD 21157
Phone (301) 848-4121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1669558219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 114",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-795-2233",
            "fax_number": "410-795-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "address_2": "SUITE 114",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464",
            "telephone_number": "410-795-2233",
            "fax_number": "410-795-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0033681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

Verify at the official NPI Registry.