Matt Evans, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54817 Issued in AZ

Practice address

1209 S 1St Ave
Phoenix, AZ 85003-2692

Phone

(602) 258-6797

NPI assigned

Apr 11, 2013

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Matthew Douglas Evans Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

University of Arizona College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.evans.1@11818.direct.athenahealth.com

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.

• Circle the City

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1346588316
  Medicare reassignment Care Compare group NPD
• New Hope Behavioral Health Center Inc

  • Health Service Clinic/Center
  • Mesa, AZ
  • NPI 1992387112
  Medicare reassignment NPD
• Tca PLC

  • Medical Toxicology (Emergency Medicine) Physician
  • Phoenix, AZ
  • NPI 1861784753
  Medicare reassignment NPD
• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831344035
  Medicare reassignment NPD
• Circle the City

  dba Circle the City Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1144093972
  NPD
• Circle the City

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1932588795
  NPD
• New Hope Behavioral Health Center Inc

  • Methadone Clinic
  • Mesa, AZ
  • NPI 1578685822
  NPD
• Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1174345839
  NPD
• Two Brave Vikings LLC

  dba New Hope Behavioral Health Center

  • Methadone Clinic
  • Mt Pleasant, MI
  • NPI 1780568352
  NPD
• Circle the City

  dba Circle the City Family Health Center, Downtown Campus

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1548775570
  NPD (past)
• Healing Humans

  • Addiction Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1528650694
  NPD (past)
• WD Recovery and Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1669986998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1821431560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 N RIDGECREST UNIT 161",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071081",
            "telephone_number": "480-332-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 S 1ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032692",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 E Florentine Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142245",
            "country_code": "US",
            "telephone_number": "928-442-8710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 E Pima St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850344639",
            "country_code": "US",
            "telephone_number": "602-407-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6520 N 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850141213",
            "country_code": "US",
            "telephone_number": "480-681-0454",
            "fax_number": "480-681-0449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 16th St Ste B101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205274",
            "country_code": "US",
            "telephone_number": "480-681-0454",
            "fax_number": "480-681-0449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MATT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54817",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "54817",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322863",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "EVANS",
            "middle_name": "DOUGLAS",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kari Lynn Evans, MD
• Kaya Jade Evans, OTR/L
• Krista Evans
• Maria Evans, LPC
• Marsha Evans, ANP
• McKenna Evans
• Mya Evans, RBT
• Nataliya Evans
• Paula Evans, DPM
• Rachel Evans, DMD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.

Verify at the official NPI Registry.