EVAN ANDREW LOS EVAN LOS, M.D.
NPI 1174842348
Pediatrics - Pediatric Endocrinology in Johnson City, TN

Q: What is Evan Los's NPI number?

The NPI number for Evan Los is 1174842348. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Q: What is Evan Los's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Evan Los was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 26, 2010PECOS Enrolled

408 N STATE OF FRANKLIN RD, SUITE 31B, JOHNSON CITY, TN 37604(423) 431-4946(423) 431-4947 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Feb 15, 2017 (2 updates tracked since 2017).

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About Evan Andrew Los Evan Los, M.d. NPPES

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

EVAN ANDREW LOS EVAN LOS, M.D. (NPI 1174842348) is an individual pediatric endocrinology provider in Johnson City, Tennessee, licensed in Tennessee (54336) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174842348

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameEVAN ANDREW LOSCredential: EVAN LOS, M.D.

Location Address408 N STATE OF FRANKLIN RD, SUITE 31BJohnson City, TN 37604-6089

Mailing Address408 N State Of Franklin Rd, Suite 31bJohnson City, TN 37604-6089 · (423) 431-4946 · Fax (423) 431-4947

Phone(423) 431-4946

Fax(423) 431-4947

Sole ProprietorNo

Enumeration DateMay 26, 2010

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1174842348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TN · 54336

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License 54336 (TN), MD163055 (OR)

408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Other Identifiers 2

Medicaid1174842348VA

MedicaidQ022585TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 (PECOS)

Evan Andrew Los Evan Los, M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. PAULA RENEE SMITH M.D.

Internal Medicine

408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

Washington County (423) 431-1810

MR. LARRY MICHAEL STEVENS II APN

Nurse Practitioner (Adult Health)

408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

Washington County (423) 431-1810

DR. SAMUEL WINSTON HUDDLESTON V M.D.

Radiology (Diagnostic Radiology)

408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604

Washington County (423) 431-2478

ALEXIS HODGE DUTY FNP

Nurse Practitioner (Family)

408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604

Washington County (423) 431-4946

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Neurological Surgery

408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604

Washington County (423) 431-2350

MRS. AMIE JARRETT BRIGGS FNP-BC

Nurse Practitioner

408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604

Washington County (423) 431-4946

DR. ANDREW S PIERCE MD

Internal Medicine

408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Washington County (423) 431-1810

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Gastroenterology)

408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

Washington County (423) 431-1810

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 Los's NPI number?

The NPI number for Evan Los is 1174842348. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Evan Los located?

Evan Los practices at 408 N State Of Franklin Rd Suite 31B, Johnson City, TN 37604. The listed phone number is (423) 431-4946.

What is Evan Los's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Evan Los enrolled in Medicare?

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

What insurance does Evan Los accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Evan Los 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.

When was this NPI record last updated?

The NPPES record for Evan Los was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.