NPIMap

Individual provider Active NPI

Matthew Evans, M.D.

  • Interventional Cardiology Physician
  • Knoxville, TN
National Provider Identifier
1992168454
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
68715 Issued in TN
Practice address
1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone
(865) 546-5111
NPI assigned
Apr 1, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 68715 TN Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435

Mailing address

1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

Other identifiers 1

IdentifierTypeStateIssuer
Q085032MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evans.matthew.corey@covenanthealth.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001684 TN Practitioner - Interventional Cardiology 5890080022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Maryland School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Knoxville Heart Group, Inc.Group PAC ID 4284761917, 20 clinicians

Practice addresses (Care Compare)

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

1901 Clinch Ave
Knoxville, TN 37916-2307

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Heart Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Fort Sanders Regional Medical Center CurrentSince Sep 2, 2023 Accepting new patients
Knoxville Heart Group PC Past Accepting new patients

Locations

1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

7625 Chapman Hwy
Ste 103
Knoxville, TN 37920
Phone (865) 331-1122

Dept 888001
Knoxville, TN 37995

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

Interoperability endpoints

  • Direct secure messaging: evans.matthew.corey@covenanthealth.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1992168454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-374-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "68715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q085032",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evans.matthew.corey@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1819 Clinch Ave Ste 108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.