Active NPI
Kelly Lee Evans-Rankin, MD
- Family Medicine Physician
- Cincinnati, OH
National Provider Identifier
1770799124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.138436
- Practice address
- 8000 5 Mile Rd Ste 105
Cincinnati, OH 45230-2187 - Phone
- (513) 233-6980
- Fax
- (513) 233-6983
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44125 | KY | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 44125 | KY | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35.138436 | OH | |
| Family Medicine Physician | 207Q00000X | 35.138436 | OH | Primary |
Addresses
Primary practice location
8000 5 Mile Rd Ste 105
Cincinnati, OH 45230-2187
Mailing address
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100191900 | Medicaid | KY |
Other names 1
- Dr. Kelly Lee Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 24, 2025 through Nov 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Mochi Medical NJ P.C. | Past | Accepting new patients | |
| Saint Francis Medical Center | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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-
- Obesity Medicine (Internal Medicine) Physician
- San Francisco, CA
- NPI 1922889294
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1770799124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 STATE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552439",
"telephone_number": "513-624-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 5 MILE RD STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302187",
"telephone_number": "513-233-6980",
"fax_number": "513-233-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS-RANKIN",
"first_name": "KELLY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "44125",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KY",
"license": "44125",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "35.138436",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.138436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100191900",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "EVANS",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.