EVAN DANIEL MCCONNELL MD
NPI 1376103994
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Evan Mcconnell's NPI number?

The NPI number for Evan Mcconnell is 1376103994. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Evan Mcconnell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Mcconnell was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 June 17, 2019PECOS EnrolledAccepts Medicare Assignment

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7746(585) 723-7834 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evan Daniel Mcconnell Md NPPES

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

EVAN DANIEL MCCONNELL MD (NPI 1376103994) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2019).

NPPES Registry Identity

NPI1376103994

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameEVAN DANIEL MCCONNELLCredential: MD

Location Address1555 LONG POND RDRochester, NY 14626-4122

Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 723-7746 · Fax (585) 723-7834

Phone(585) 723-7746

Fax(585) 723-7834

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2019

Enumeration DateJune 17, 2019

✔ NPI 1376103994 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.

1555 LONG POND RD, Rochester, NY 14626

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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 and accepts Medicare assignment

Evan Daniel Mcconnell Md 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 ID6608108477

PECOS Enrollment IDI20240618000161

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

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330096

Location191 North Main StreetWellsville, NY 14895 · Allegany County

Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330238

Location111 Clara Barton StreetDansville, NY 14437 · Livingston County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe 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.

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program