Active NPI
Dan H Evans, M.D.
- Nephrology Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036062519
- Practice address
- 1025 Maine St
Quincy, IL 62301-4038 - Phone
- (217) 222-6550
- NPI assigned
- Feb 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036062519 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036062519 | IL |
Addresses
Primary practice location
1025 Maine St
Quincy, IL 62301-4038
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062519 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1025 Maine St
Quincy, IL 62301-4038
1025 Maine St
Quincy, IL 62301-4096
Hospital & facility affiliations
- Quincy Medical Group Peritoneal Dialysis Ctr
- DaVita Adams County Dialysis
- Blessing Home Care
- Blessing Hospital
- Memorial Hospital
- MC Donough District Hospital
- Blessing Hospital Snu
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062519 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Schuyler County Hospital District | Current | Accepting new patients | |
| Schuyler County Hospital District | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Past | Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients | |
| Memorial Hospital Association | Past | Accepting new patients |
Locations
1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
175 Shinn Ln
Hannibal, MO 63401
Phone (573) 248-0008
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
Interoperability endpoints
- devans198116@direct.unitypoint.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1205887742
-
- Rural Health Clinic/Center
- Hamilton, IL
- NPI 1679327779
-
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Rural Health Clinic/Center
- Table Grove, IL
- NPI 1194223719
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Rural Health Clinic/Center
- Carthage, IL
- NPI 1588614002
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Quincy, IL
- NPI 1053410001
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Quincy, IL
- NPI 1538493937
Dialysis facility
-
- Home Health Agency
- Quincy, IL
- NPI 1548269426
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1730152273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DAN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036062519",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036062519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062519",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.