DR. EVAN COURVILLE MD
NPI 1376118224
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since May 24, 2021PECOS Enrolled
MSC10 5615, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-3401 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2022, May 24, 2021 (2 updates tracked since 2021).

About Dr. Evan Courville Md NPPES

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

DR. EVAN COURVILLE MD (NPI 1376118224) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1376118224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EVAN COURVILLECredential: MD
Location AddressMSC10 5615, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131
Mailing Address114 Windberg LnLafayette, LA 70503-5600 · (337) 349-3707
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1376118224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedSurgeryTaxonomy 208600000X · License 326641 (LA)
MSC10 5615, Albuquerque, NM 87131

Secondary Practice Location 1

Location 11514 Jefferson HwyNew Orleans, LA 70121-2429 · Phone (866) 624-7637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Evan Courville 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
MSC10 5615, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Courville's NPI number?

The NPI number for Evan Courville is 1376118224. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Evan Courville located?

Evan Courville practices at Msc10 5615 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-3401.

What is Evan Courville'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 Courville enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Courville was last updated on May 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.