Individual provider Active NPI

James H Evans III, MD

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1669560389
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28668 Issued in AZ
Practice address
8466 W Peoria Ave
Suite 6
Peoria, AZ 85345-6548
Phone
(623) 845-0664
Fax
(623) 845-0667
NPI assigned
Oct 10, 2006
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 28668 AZ Primary

Addresses

Primary practice location

8466 W Peoria Ave
Suite 6
Peoria, AZ 85345-6548

Mailing address

15029 N Thompson Peak Pkwy
Ste B111
Scottsdale, AZ 85260-2223
Phone (623) 845-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28668AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Integrated Medicine PC Past Accepting new patients
Infinite Health & Wellness Centers PLLC PastSince Aug 1, 2017 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Pinnacle Internal Medicine Internal Medicine PastSince Oct 1, 2003 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Lasertech Pain Relief Centers LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIEICA

Organizations & group practices 9

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1669560389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "STE B111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602223",
            "telephone_number": "623-845-0664",
            "fax_number": "623-845-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8466 W PEORIA AVE",
            "address_2": "SUITE 6",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456548",
            "telephone_number": "623-845-0664",
            "fax_number": "623-845-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.