EVAN ANDREW LOS EVAN LOS, M.D.
NPI 1174842348
Pediatrics - Pediatric Endocrinology in Johnson City, TN
NPI Status: Active since May 26, 2010
Contact Information
408 N STATE OF FRANKLIN RD
SUITE 31B
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-4946
Fax: (423) 431-4947
- Individual
- Male
- Pediatrics
- Pediatric Endocrinology
- Accepts Insurance
- PECOS Enrolled
About EVAN LOS
This page provides the complete NPI Profile along with additional information for Evan Los, a pediatrician established in Johnson City, Tennessee with a medical specialization in Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1174842348 assigned on May 2010. The practitioner's primary taxonomy code is 2080P0205X with license number 54336 (TN). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1174842348
- Provider Name
- EVAN ANDREW LOS EVAN LOS, M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 408 N STATE OF FRANKLIN RD SUITE 31B JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-4946
- Location Fax
- (423) 431-4947
- Mailing Address
- 408 N STATE OF FRANKLIN RD SUITE 31B JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 431-4946
- Mailing Fax
- (423) 431-4947
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-26-2010
- Last Update Date
- 03-03-2025
- Code Navigator
A pediatrician like Evan Los is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
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
Pediatrics Pediatric Endocrinology
- Taxonomy Code
- 2080P0205X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54336
- License State
- TN
- Taxonomy Description
- 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.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 54336 (TN) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD163055 (OR) |
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 (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + 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
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + 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
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1174842348 | MEDICAID (05) | VA | |
| Q022585 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Evan Los 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37604 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for EVAN ANDREW LOS EVAN LOS, M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 4 | 2 | 3 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 4 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 4 + 3 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1174842348 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. ANDREW S PIERCE MD
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
STEVEN C HAMEL MD
Neurological Surgery
408 N STATE OF FRANKLIN RD
SUITE 42
JOHNSON CITY, TN
ZIP 37604
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
408 N STATE OF FRANKLIN RD
SUITE 42
JOHNSON CITY, TN
ZIP 37604
CENTER FOR APPLIED REPRODUCTIVE SCIENCE
Obstetrics & Gynecology
(Reproductive Endocrinology)
408 N STATE OF FRANKLIN RD
SUITE # 31
JOHNSON CITY, TN
ZIP 37604
TODD HORTON MD
Orthopaedic Surgery
(Hand Surgery)
408 N STATE OF FRANKLIN RD
SUITE 31
JOHNSON CITY, TN
ZIP 37604
MRS. SHANNON M WIEDERHOLT RD,LDN,CDE
Dietitian, Registered
408 N STATE OF FRANKLIN RD
SUITE#31
JOHNSON CITY, TN
ZIP 37604
MS. BRITTANY MOODY REECE NP
Nurse Practitioner
(Family)
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
ASHLEY D PIERSON PA-C
Physician Assistant
408 N STATE OF FRANKLIN RD
SUITE 31
JOHNSON CITY, TN
ZIP 37604
DR. MOUNA ABOUAMARA MD
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Physician Assistant
408 N STATE OF FRANKLIN RD
SUITE 31
JOHNSON CITY, TN
ZIP 37604
DR. DON E ADAMS III MD
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
DR. PAULA RENEE SMITH M.D.
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24 A
JOHNSON CITY, TN
ZIP 37604
THOMAS R. BORTHWICK M.D.
Internal Medicine
(Gastroenterology)
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
ANJALI MALKANI M.D.
Pediatrics
(Pediatric Gastroenterology)
408 N STATE OF FRANKLIN RD
SUITE 31 E
JOHNSON CITY, TN
ZIP 37604
KIMBERLY S BACON NP
Nurse Practitioner
(Family)
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
MRS. AMIE JARRETT BRIGGS FNP-BC
Nurse Practitioner
408 N STATE OF FRANKLIN RD
SUITE 31C
JOHNSON CITY, TN
ZIP 37604
NEIL W KOOY M.D.
Pediatrics
(Pediatric Critical Care Medicine)
408 N STATE OF FRANKLIN RD
SUITE 31D
JOHNSON CITY, TN
ZIP 37604
ELISA J LAFOUNTAIN DO
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
DR. SHWETA KHARALKAR MD
Internal Medicine
408 N STATE OF FRANKLIN RD
SUITE 24 A
JOHNSON CITY, TN
ZIP 37604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174842348, enumerated as an "individual" on May 26, 2010.
The provider is located at 408 N STATE OF FRANKLIN RD SUITE 31B JOHNSON CITY, TN 37604 and the phone number is (423) 431-4946.
Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
