NPIMap

Individual provider Active NPI

Thomas K Evans, M.D.

  • Vascular Surgery Physician
  • Newark, DE
National Provider Identifier
1992818421
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C1-0007754 Issued in DE
Practice address
1 Centurian Dr Ste 307
Newark, DE 19713
Phone
(302) 543-8100
Fax
(302) 543-8905
NPI assigned
Aug 17, 2006
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X C1-0007754 DE Primary

Addresses

Primary practice location

1 Centurian Dr Ste 307
Newark, DE 19713

Mailing address

1 Centurian Dr Ste 307
Newark, DE 19713-2127
Phone (302) 543-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051128000500 DE Practitioner - Vascular Surgery 6406883099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Temple University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Vascular Surgery CurrentSince Nov 12, 2013 Accepting new patients
Christiana Care Health Services Inc Vascular Surgery CurrentSince Oct 30, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 1, 2005 Accepting new patients
Christiana Care Health Services Inc Vascular Surgery CurrentSince Oct 1, 2005 Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Vascular Consultants PA Vascular Surgery Past Accepting new patients
Cardiology Physicians, LLC Past Accepting new patients
Delaware Valley Cardiovascular Surgical Associates PC Past Accepting new patients
Dellacroce Lee & Hardesty Vascular Surgery Past Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 1208
Newark, DE 19713
Phone (302) 623-4004

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1E20
Newark, DE 19718
Phone (302) 733-5625

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Organizations & group practices 10

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 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1992818421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 307",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132127",
            "telephone_number": "302-543-8100",
            "fax_number": "302-543-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 307",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-543-8100",
            "fax_number": "302-543-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DE",
            "license": "C1-0007754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.