EVAN TANK DO
NPI 1124316054
Psychiatry & Neurology - Epilepsy
in Grand Rapids, MI
NPI Status: Active since July 12, 2011
Contact Information
275 MICHIGAN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-7900
Fax: (616) 267-7901
- Individual
- Male
- Years of Experience 15
- Psychiatry & Neurology
- Epilepsy
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About EVAN TANK
This page provides the complete NPI Profile along with additional information for Evan Tank, a provider established in Grand Rapids, Michigan with a medical specialization in Psychiatry & Neurology, focusing in epilepsy and more than 15 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1124316054 assigned on July 2011. The practitioner's primary taxonomy code is 2084E0001X with license number 5101019162 (MI). The provider is registered as an individual and his NPI record was last updated May 2026.
- NPI
- 1124316054
- Provider Name
- EVAN TANK DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 275 MICHIGAN ST NE GRAND RAPIDS, MI 49503
- Location Phone
- (616) 267-7900
- Location Fax
- (616) 267-7901
- Mailing Address
- 100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-12-2011
- Last Update Date
- 05-08-2026
- Code Navigator
Location Map
Secondary Locations
- 1901 S Shady St
Mountain City, TN 37683
(423) 727-1103 - 1105 Sixth St
Traverse City, MI 49684
(231) 935-6239 - 1519 Main St
Sneedville, TN 37869
(423) 733-5070 - 851 Locust St
Rogersville, TN 37857
(423) 921-7000 - 300 Med Tech Pkwy
Johnson City, TN 37604
(423) 302-1000 - 1990 Holton Ave E
Big Stone Gap, VA 24219
(276) 523-3111 - 1 Medical Park Blvd
Bristol, TN 37620
(423) 844-1121 - 58 Carroll St
Lebanon, VA 24266
(276) 883-8000 - 1420 Tusculum Blvd
Greeneville, TN 37745
(423) 787-5000 - 1501 W Elk Ave
Elizabethton, TN 37643
(423) 542-1300 - 2801 N Gantenbein Ave
Portland, OR 97227
(503) 413-2200 - 400 N State of Franklin Rd
Johnson City, TN 37604
(423) 431-6111 - 1250 E Marshall St
Richmond, VA 23298
(804) 828-9350 - 2000 Brookside Dr
Kingsport, TN 37660
(423) 857-7000 - 16000 Johnston Memorial Dr
Abingdon, VA 24211
(276) 258-1000 - 245 Medical Park Dr
Marion, VA 24354
(276) 378-1000 - 127 Health Care Dr
Pennington Gap, VA 24277
(276) 546-5212 - 100 15th St NW
Norton, VA 24273
(276) 439-1000 - 130 W Ravine Rd
Kingsport, TN 37660
(423) 224-4000 - 601 John St Ste M-124
Kalamazoo, MI 49007
(269) 341-7500 - 312 Hospital Dr
Clintwood, VA 24228
(276) 926-0300
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Epilepsy
- Taxonomy Code
- 2084E0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101019162
- License State
- MI
- Taxonomy Description
- Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 6514 (TN) |
| 2 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 0102207882 (VA) |
| 3 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 5101019162 (MI) |
| 4 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | 02007671A (IN) |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | OP70051303 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Bronze Classic - EPO
- Bronze Classic | with Bryan Health - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard | with Bryan Health - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
- Bronze Simple Diabetes - EPO
- Bronze Simple Diabetes | with Bryan Health - EPO
- Gold Classic Standard - EPO
- Gold Classic Standard | with Bryan Health - EPO
- Gold Elite - EPO
- Gold Elite | with Bryan Health - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard | with Bryan Health - EPO
- Silver Simple Diabetes - EPO
- Silver Simple Diabetes | with Bryan Health - EPO
- Silver Simple PCP Saver - EPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Bronson Healthcare Partners - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Bronson Healthcare Partners - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Evan Tank is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Evan Tank is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9931417813
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160623000568, I20240215001466, I20241014001793, I20251201002628
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Measurement of brain wave activity (eeg), continuous
Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional
Measurement of brain wave activity with video (veeg), 2-12 hours with continuous monitoring
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 19 times for 13 patientsMeasurement of brain wave activity, or EEG, is a non-invasive procedure that records electrical patterns in your brain. This continuous monitoring helps to identify irregularities in brain function, aiding in diagnosis of conditions like epilepsy.
This service was performed 14 times for 14 patientsThis procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
This service was performed 113 times for 75 patientsThis procedure, called Video EEG, monitors brain wave activity for 2-12 hours. It uses video to track physical behaviors while EEG records brain activity. It helps in diagnosing conditions like seizures, sleep disorders, or unexplained behavior changes.
This service was performed 14 times for 14 patientsThis procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
This service was performed 94 times for 92 patientsThis procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
This service was performed 17 times for 17 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Evan Tank is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| OWENSBORO HEALTH REGIONAL HOSPITAL | 1201 PLEASANT VALLEY ROAD OWENSBORO, KY 42303 | (270) 417-2000 | Acute Care Hospitals | |
| LAKELAND HOSPITAL, ST JOSEPH | 1234 NAPIER AVENUE ST JOSEPH, MI 49085 | (269) 983-8300 | Acute Care Hospitals | |
| SPECTRUM HEALTH | 100 MICHIGAN ST NE GRAND RAPIDS, MI 49503 | (616) 391-1774 | Acute Care Hospitals | |
| MUNSON MEDICAL CENTER | 1105 SIXTH STREET TRAVERSE CITY, MI 49684 | (231) 935-5000 | Acute Care Hospitals | |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS | POST OFFICE BOX 980510 1250 EAST MARSHALL STREET RICHMOND, VA 23298 | (804) 828-9000 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124316054, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124316054, enumerated as an "individual" on July 12, 2011.
The provider is located at 275 MICHIGAN ST NE GRAND RAPIDS, MI 49503 and the phone number is (616) 267-7900.
Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
Evan Tank is affiliated with: OWENSBORO HEALTH REGIONAL HOSPITAL, LAKELAND HOSPITAL, ST JOSEPH, SPECTRUM HEALTH, MUNSON MEDICAL CENTER and MEDICAL COLLEGE OF VIRGINIA HOSPITALS.