EVAN TANK DO
NPI 1124316054
Psychiatry & Neurology - Epilepsy
in Grand Rapids, MI
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 maintains 22 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 22
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
14Medicare enrollment records show Evan Tank reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 685 clinicians in this Medicare group
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 557 clinicians in this Medicare group
Hartford, MI 49057
- Reassigned Medicare billing, Michigan enrollment
- 107 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 249 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 clinicians in this Medicare group
Clinton, IN 47842
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Union Hospital Inc
- 121 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, KYLakeland Hospital, St Joseph
Acute Care Hospitals · St Joseph, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MILegacy Emanuel Medical Center
Acute Care Hospitals · Portland, ORMedical College Of Virginia Hospitals
Acute Care Hospitals · Richmond, VAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Evan Tank located?
Evan Tank practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.
What is Evan Tank's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.
Is Evan Tank enrolled in Medicare?
Yes. Evan Tank is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Evan Tank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Tank reassigns Medicare benefits to 14 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Metropolitan Hospital (Grand Rapids, MI), Bronson Methodist Hospital (Kalamazoo, MI), Bronson Battle Creek Hospital (Battle Creek, MI), Lakeland Community Hospital Watervliet (Hartford, MI) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Tank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Tank accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Evan Tank as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Evan Tank affiliated with any hospitals?
According to CMS data, Evan Tank is affiliated with Owensboro Health Regional Hospital, Lakeland Hospital, St Joseph, Spectrum Health, Legacy Emanuel Medical Center and Medical College Of Virginia Hospitals.
When was this NPI record last updated?
The NPPES record for Evan Tank was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Evan Tank, DO · NPI 1124316054
Epilepsy physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 12, 2011.
## Identity
- **NPI:** 1124316054 (Entity type: Individual)
- **Enumerated:** July 12, 2011
- **Primary specialty:** Psychiatry & Neurology - Epilepsy · taxonomy 2084E0001X
- **State license:** 5101019162 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 MICHIGAN ST NE, Grand Rapids, MI 49503-2531
- **Phone:** (616) 267-7900 · **Fax:** (616) 267-7901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1689499667, Grand Rapids, MI); Metropolitan Hospital (NPI 1720590961, Grand Rapids, MI); Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); Bronson Battle Creek Hospital (NPI 1093119638, Battle Creek, MI); Lakeland Community Hospital Watervliet (NPI 1023114741, Hartford, MI); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2011
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124316054) · Data from the CMS NPPES public registry.