NPIMap

Individual provider Active NPI

Evan P Kardon, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1952364374
Registry record updated Jun 26, 2018
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 1128b(7) exclusion effective Jan 12, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39834 Issued in NC
Practice address
12820 Lindley Drive
Credentialing/Payer Contracting Services
Raleigh, NC 27614
Phone
(919) 616-1552
NPI assigned
Apr 7, 2006
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39834 NC Primary

Addresses

Primary practice location

12820 Lindley Drive
Credentialing/Payer Contracting Services
Raleigh, NC 27614

Mailing address

12820 Lindley Drive
Credentialing/Payer Contracting Services
Raleigh, NC 27614
Phone (919) 616-1552

Other identifiers 2

IdentifierTypeStateIssuer
894780AMedicaidNC
12362121OtherCAQH

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Emergency Coverage, LLC Internal Medicine Past Accepting new patients
The Carolinas Emergency Group, PLLC PastSince Apr 19, 2020 Accepting new patients
Vance Emergency Physicians Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Alleghany Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1952364374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 LINDLEY DRIVE",
            "address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-616-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 LINDLEY DRIVE",
            "address_2": "CREDENTIALING/PAYER CONTRACTING SERVICES",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27614",
            "telephone_number": "919-616-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDON",
        "first_name": "EVAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894780A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12362121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.