NPIMap

Individual provider Active NPI

Evan Enloe Minard, MD

  • Emergency Medicine Physician
  • Thornton, CO
National Provider Identifier
1912955329
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0052063 Issued in CO
Practice address
13631 Colorado Blvd
Thornton, CO 80602-7051
Phone
(303) 252-2960
Fax
(303) 252-2964
NPI assigned
May 5, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0052063 CO Primary
Emergency Medicine Physician 207P00000X L7049 TX
Emergency Medicine Physician 207P00000X MD2012-0876 NM

Addresses

Primary practice location

13631 Colorado Blvd
Thornton, CO 80602-7051

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4123

Other practice location 1

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1125

Other practice location 2

1201 W 38th St
Austin, TX 78705-1006
Phone (512) 452-8533

Other identifiers 1

IdentifierTypeStateIssuer
160593301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140227002029 NM Practitioner - Emergency Medicine 7416902366 Reassigns benefits to 1 organization
I20151214002265 CO Practitioner - Emergency Medicine 7416902366 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Medical Center, PCGroup PAC ID 4183536204, 86 clinicians

Practice addresses (Care Compare)

2750 Broadway St
Boulder, CO 80304-3573
Phone (303) 440-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0052063COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 29, 2019 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Nov 13, 2023 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Sep 29, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Boulder Medical Center, P.C. Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 21, 2023 Accepting new patients
Durango Surgery Center LLC CurrentSince Dec 1, 2020 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Nov 13, 2023 Accepting new patients
Animas Surgical Hospital, LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Ascension Seton Past Accepting new patients
Animas Surgical Hospital, LLC Past Accepting new patients
Kalamazoo Emergency Associates, PLC Emergency Medicine Past Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Interoperability endpoints

  • Direct secure messaging: eminard113388@direct.phs.org
  • Direct secure messaging: evan.minard.1@8363.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1912955329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4123",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-252-2960",
            "fax_number": "303-252-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Central Ave SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064930",
            "country_code": "US",
            "telephone_number": "505-841-1125",
            "fax_number": "505-841-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051006",
            "country_code": "US",
            "telephone_number": "512-452-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINARD",
        "first_name": "EVAN",
        "middle_name": "ENLOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0052063",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L7049",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2012-0876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160593301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.