Individual provider Active NPI

Richard B Evans, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Watertown, SD
National Provider Identifier
1881707602
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD438985 Issued in PA
Practice address
401 9TH Ave NW
Watertown, SD 57201-1548
Phone
(605) 882-7000
NPI assigned
Aug 16, 2006
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139403-1 NY
Pulmonary Disease Physician 207RP1001X 13896 ND
Hospitalist Physician 208M00000X 139403 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD438985 PA Primary

Addresses

Primary practice location

401 9TH Ave NW
Watertown, SD 57201-1548

Mailing address

4452 Vinegar Hill Rd
Skaneateles, NY 13152-9384
Phone (315) 567-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, PA, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101215001135 OK Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4082678818 Reassigns benefits to 1 organization
I20110601000912 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4082678818 Reassigns benefits to 2 organizations
I20181108001123 ND Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4082678818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
139403-1NYMDInternal Medicine Physician
MD438985PAMDCritical Care Medicine (Internal Medicine) Physician
13896NDMDPulmonary Disease Physician
139403NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Internal Medicine CurrentSince Sep 10, 2018 Accepting new patients
Altru Health System CurrentSince Sep 10, 2018 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Feb 12, 2013 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Sep 27, 2021 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Feb 12, 2013 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
New York Em-III Medical Services, PC Internal Medicine Past Accepting new patients
South Tulsa Medical Group LLC Internal Medicine Past Accepting new patients

Locations

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

13313 N Meridian Ave
Ste D
Oklahoma City, OK 73120
Phone (405) 529-5759

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

201 State St
Erie, PA 16550
Phone (814) 877-2137

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1881707602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 VINEGAR HILL RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529384",
            "telephone_number": "315-567-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 9TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011548",
            "telephone_number": "605-882-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139403-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ND",
            "license": "13896",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "139403",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD438985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.