Organization Active NPI

Evans Medical Group LLC

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1851214498
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EVANS MEDICAL GROUP LLC
Practice address
4999 E Kentucky Ave
Denver, CO 80246-3901
Phone
(720) 551-4112
NPI assigned
Jul 31, 2026
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Ossamah Abaidat
Title
Billing Manager
Phone
(720) 400-5295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Denver, CO 80246-3901
Phone (720) 551-4112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1851214498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "720-551-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "720-551-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "ABAIDAT",
        "authorized_official_first_name": "OSSAMAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "720-400-5295"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.