Douglas Eugene Evans, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

110143 Issued in MO

Practice address

101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015

Phone

(816) 271-1350

Fax

(816) 271-1355

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mosaic Medical Center - Maryville

  • Specialist
  • Maryville, MO
  • NPI 1184189797

  Pediatrics

  Medicare reassignment NPD
• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  Medicare reassignment
• Evans Pediatric Clinic PC

  • Pediatrics Physician
  • Saint Joseph, MO
  • NPI 1013952886
  NPD (past) Authorized official
• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357
  NPD
• Mosaic Medical Center - Maryville

  • Psychiatric Hospital Unit
  • Maryville, MO
  • NPI 1477027803
  NPD
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1871591768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N 36TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062977",
            "telephone_number": "816-271-4022",
            "fax_number": "816-271-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-1350",
            "fax_number": "816-271-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5514 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645077743",
            "country_code": "US",
            "telephone_number": "816-271-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "110143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248268435",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004162190003",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce E. Estes, LCSW
• Andrew Linus Euler, DDS
• Evans Pediatric Clinic PC
• Aaron Evans
• Ashley M Evans, LPC
• Mackenzie Nicole Evans, APRN
• Rachel J Evans, LCSW
• David L Ewing, MD
• Eyemart Express LLC
• Anthony Ezemba

• Pediatrics Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.