Individual provider Active NPI

Robert K Evans, MD

  • Emergency Medicine Physician
  • Medford, OR
National Provider Identifier
1730134404
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C54892 Issued in CA
Practice address
2825 East Barnett Rd
Medford, OR 97504-8332
Phone
(541) 789-7000
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01062006 IN
Emergency Medicine Physician 207P00000X MD173701 OR
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 01062006A IN
Emergency Medicine Physician 207P00000X C54892 CA Primary

Addresses

Primary practice location

2825 East Barnett Rd
Medford, OR 97504-8332

Mailing address

PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-5516

Other identifiers 3

IdentifierTypeStateIssuer
200818710AMedicaidIN
P00364009OtherINRAIL ROAD MEDICARE
000000480364OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120131000772 CA Practitioner - Emergency Medicine 9739112921 Reassigns benefits to 12 organizations
I20150915003183 OR Practitioner - Emergency Medicine 9739112921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians
Southern Coos Health DistrictGroup PAC ID 1951219310, 25 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

900 11TH St SE
Bandon, OR 97411-9114
Phone (541) 347-2426

Hospital & facility affiliations

  • Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122
  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54892CAMDEmergency Medicine Physician
01062006INMDEmergency Medicine Physician
01062006AINMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 16, 2012 Accepting new patients
County of Santa Clara Current Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jan 16, 2012 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Apr 16, 2018 Accepting new patients
County of Santa Clara CurrentSince Apr 16, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Mar 1, 2020 Accepting new patients
Southern Coos Health District CurrentSince Jan 1, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Southern Coos Health District CurrentSince Jan 1, 2020 Accepting new patients
Ridgeline Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Feb 7, 2018 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Depot Emergency Physicians Emergency Medicine Past Accepting new patients
Memorial Emergency Physicians Medical Group, Inc Emergency Medical Services Past Accepting new patients
Greeneville Emergency Physicians Medical Group PC Emergency Medicine Past Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Michigan Em-I Medical Services, P.C. Past Accepting new patients
Memorial Hospital of South Bend Emergency Medicine Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

Interoperability endpoints

  • Direct secure messaging: revans221141@hisp.ehr.sutterhealth.org

Organizations & group practices 25

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.

View all 25

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1730134404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4749",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010227",
            "telephone_number": "541-789-5516",
            "fax_number": "541-789-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EAST BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01062006",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD173701",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01062006A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C54892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200818710A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00364009",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000480364",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.