Individual provider Active NPI

Frank Evanov, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1750362984
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
124049 Issued in NY
Practice address
1300 Union Tpke
Suite 202
New Hyde Park, NY 11040-1759
Phone
(516) 352-1500
Fax
(516) 352-1453
NPI assigned
Nov 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 124049 NY Primary

Addresses

Primary practice location

1300 Union Tpke
Suite 202
New Hyde Park, NY 11040-1759

Mailing address

1300 Union Tpke
Suite 202
New Hyde Park, NY 11040-1759
Phone (516) 352-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100611000036 NY Practitioner - Internal Medicine 9133259542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Union Tpke
Suite 202
New Hyde Park, NY 11040-1759
Phone (516) 352-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frank a Evanov MD PC Single Specialty CurrentSince Aug 2, 1982 Accepting new patients
Hourizadeh Medical Care PLLC Single Specialty PastSince Nov 7, 2025 Accepting new patients

Locations

19303 Union Tpke
Fresh Meadows, NY 11366
Phone (516) 721-4648

1300 Union Tpke
Ste 202
New Hyde Park, NY 11040
Phone (201) 681-6042

1300 Union Tpke
North New Hyde Pk, NY 11040
Phone (516) 352-1500

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1750362984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 202",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "516-352-1500",
            "fax_number": "516-352-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UNION TPKE",
            "address_2": "SUITE 202",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401759",
            "telephone_number": "516-352-1500",
            "fax_number": "516-352-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANOV",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "124049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.