Active NPI
Vanessa Joyce Matuod Evardone, M.D.
- Internal Medicine Physician
- Wallingford, CT
National Provider Identifier
1891981213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47553
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47553 | CT | MD | Internal Medicine Physician |
| 34638 | FL | MD | Internal Medicine Physician |
| 228683 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1851571608
CT
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.