Evan Gross, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME96840 Issued in HI

Practice address

74-5588 Palani Rd Ste 29
Kailua Kona, HI 96740-3120

Phone

(808) 523-0445

Fax

(808) 356-3380

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Evan Gross Other name

Medicare fee-for-service enrollment

Enrolled in FL, HI2 enrollments

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 2

Specialty

Nephrology

Education

Wayne State University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usrc Kona Coast Dialysis facility, Kailua Kona, HI, CCN 122544
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
• Direct secure messaging: egross80239@direct.acumenmd.com
• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Hawaii Kidney Specialists, LLP

  • Nephrology Physician
  • Honolulu, HI
  • NPI 1750323440
  Medicare reassignment Care Compare group NPD
• Associates in Nephrology Butcher & Devacaanthan MD PA

  • Specialist
  • Fort Myers, FL
  • NPI 1437100146
  Medicare reassignment NPD
• Rocky Mountain Kidney Care LLC

  • Nephrology Physician
  • Lone Tree, CO
  • NPI 1861082117
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Usrc Kona LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kailua Kona, HI
  • NPI 1275389256

  Dialysis facility

  Care Compare affiliation Name & address match
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1881646602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7981 GLADIOLUS DR",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339084154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5588 PALANI RD STE 29",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403120",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2002018376",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "ME96840",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME96840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "GROSS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen J Gorman, LICSW
• Parthasarathy Govindarajan, MD
• Anjalie Rose Graham, APRN-RX
• Nikki Danelle Graves
• Douglas Koakane Green, D.C.
• Jacqueline Beth Gupton, MASSAGE THERAPIST
• Chelsea Lenay Haaland, LCSW
• Timothy H. Hagino, MD
• Hale Psychology LLC
• Katlyn Hale, PSY.D.

• Nephrology Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Nephrology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.