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EVAN SUPPA MD
NPI 1174463780
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 31, 2026PECOS Enrolled
2231 N HIGH ST STE 205, COLUMBUS, OH 43201(614) 293-2700 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Suppa Md NPPES

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

EVAN SUPPA MD (NPI 1174463780) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174463780
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN SUPPACredential: MD
Location Address2231 N HIGH ST STE 205Columbus, OH 43201-1101
Mailing Address2231 N High St Ste 205Columbus, OH 43201-1101 · (614) 293-2700
Phone(614) 293-2700
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1174463780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2231 N HIGH ST STE 205, Columbus, OH 43201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Suppa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ELIZABETH ROSE BERAN DO
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
KAYLEY IRWIN MD
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
ZACHARY BARBER
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
JESSICA CRISLIP
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
DYLAN BEAVER
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
AMY POWELL MD
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
ANGELA NICOLE RUBINO
Family Medicine
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700
DAVID BJORKLUND
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST STE 205
COLUMBUS, OH 43201
Franklin County (614) 293-2700

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 Suppa's NPI number?

The NPI number for Evan Suppa is 1174463780. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Evan Suppa located?

Evan Suppa practices at 2231 N High St Ste 205, Columbus, OH 43201. The listed phone number is (614) 293-2700.

What is Evan Suppa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Evan Suppa enrolled in Medicare?

Yes. Evan Suppa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Suppa was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.