EVAN TANK DO
NPI 1124316054
Psychiatry & Neurology - Epilepsy in Grand Rapids, MI

Q: What is Evan Tank's NPI number?

The NPI number for Evan Tank is 1124316054. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Evan Tank's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Q: When was this NPI record last updated?

The NPPES record for Evan Tank was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment

275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7900(616) 267-7901 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2026, Nov 17, 2025, Dec 13, 2024 and 5 more (8 updates tracked since 2016).

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About Evan Tank Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN TANK DO (NPI 1124316054) is an individual epilepsy provider in Grand Rapids, Michigan, licensed in Michigan (5101019162) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1124316054

Entity TypeIndividualMale

Primary Taxonomy2084E0001X

Provider Legal NameEVAN TANKCredential: DO

Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 267-7900

Fax(616) 267-7901

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2011

Enumeration DateJuly 12, 2011

Last NPPES UpdateMay 8, 20268 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1124316054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

License✔ Licensed in MI · 5101019162

Definition

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.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 6514 (TN), 0102207882 (VA), 5101019162 (MI), 02007671A (IN)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License OP70051303 (WA)

275 MICHIGAN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Tank Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931417813

PECOS Enrollment IDI20160623000568, I20240215001466, I20251201002628

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This 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.

125 services78 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718

This 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.

81 services71 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP RICHTER PARAS M.D.

Pediatrics