Active NPI
Henry M Evans Jr., M.D.
- Family Medicine Physician
- New Orleans, LA
National Provider Identifier
1932162245
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 18, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 012410
- Practice address
- 4301 Elysian Fields Ave
New Orleans, LA 70122-3875 - Phone
- (504) 284-3866
- Fax
- (504) 284-3869
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 012410 | LA | Primary |
Addresses
Primary practice location
4301 Elysian Fields Ave
New Orleans, LA 70122-3875
Mailing address
4301 Elysian Fields Ave
New Orleans, LA 70122-3875
Phone (504) 284-3866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1133582 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012410 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1932162245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 ELYSIAN FIELDS AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223875",
"telephone_number": "504-284-3866",
"fax_number": "504-284-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 ELYSIAN FIELDS AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223875",
"telephone_number": "504-284-3866",
"fax_number": "504-284-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "HENRY",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "012410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1133582",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.