Individual provider Active NPI

Vanessa Joyce Matuod Evardone, M.D.

  • Internal Medicine Physician
  • Wallingford, CT
National Provider Identifier
1891981213
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47553 Issued in CT
Practice address
900 Northrop Rd
Wallingford, CT 06492-1997
Phone
(203) 949-1534
Fax
(203) 949-9036
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34638 FL
Internal Medicine Physician 207R00000X 47553 CT Primary
Internal Medicine Physician 207R00000X 228683 MA

Addresses

Primary practice location

900 Northrop Rd
Wallingford, CT 06492-1997

Mailing address

7305 N Military TRL
Riviera Beach, FL 33410-7417
Phone (561) 866-5784

Other names 1

  • Vanessa Matuod Evardone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20090925000201 CT Practitioner - Internal Medicine 5496801805 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47553CTMDInternal Medicine Physician
34638FLMDInternal Medicine Physician
228683MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Aug 14, 2009 Accepting new patients
The William W Backus Hospital CurrentSince Aug 14, 2009 Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: vevardone663078@direct.ynhh.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1891981213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 N MILITARY TRL",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334107417",
            "telephone_number": "561-866-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHROP RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921997",
            "telephone_number": "203-949-1534",
            "fax_number": "203-949-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVARDONE",
        "first_name": "VANESSA JOYCE",
        "middle_name": "MATUOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "34638",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "47553",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "EVARDONE",
            "middle_name": "MATUOD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.