MR. EVAN THOMAS LATOURRETTE DPM
NPI 1396266516
Podiatrist - Primary Podiatric Medicine in Ronkonkoma, NY

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment
382 ROSEVALE AVE, RONKONKOMA, NY 11779(631) 667-0388(631) 968-7705 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jun 28, 2017 (2 updates tracked since 2017).

About Mr. Evan Thomas Latourrette Dpm NPPES

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

MR. EVAN THOMAS LATOURRETTE DPM (NPI 1396266516) is an individual primary podiatric medicine provider in Ronkonkoma, New York, licensed in New York (N007080-1) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and maintains a secondary practice location in Batavia.

NPPES Registry Identity

NPI1396266516
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameMR. EVAN THOMAS LATOURRETTECredential: DPM
Location Address382 ROSEVALE AVERonkonkoma, NY 11779-3069
Mailing Address1231 Deer Park AveNorth Babylon, NY 11703-3104 · (631) 667-0388 · Fax (631) 968-7705
Fax(631) 968-7705
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2017
Enumeration DateJune 28, 2017
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1396266516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in NY · N007080-1
Also ListedPodiatristTaxonomy 213E00000X · License N007080-1 (NY), N007080 (NY)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License N007080-1 (NY)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License N007080-1 (NY)
382 ROSEVALE AVE, Ronkonkoma, NY 11779

Secondary Practice Location 1

Location 12 State StBatavia, NY 14020-2132 · Phone (585) 343-8150 · Fax (585) 343-1768

Other Identifiers 2

MedicaidB1386739514NY
MedicaidETINAD01NY

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

Mr. Evan Thomas Latourrette Dpm 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 ID2163761743
PECOS Enrollment IDI20210204002018
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 11

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
635 services160 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
254 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
202 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
74 services16 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
61 services28 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
47 services26 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

Physical Medicine & Rehabilitation
382 ROSEVALE AVE
RONKONKOMA, NY 11779
Internal Medicine
382 ROSEVALE AVE
RONKONKOMA, NY 11779
Family Medicine
382 ROSEVALE AVE
RONKONKOMA, NY 11779

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 Latourrette's NPI number?

The NPI number for Evan Latourrette is 1396266516. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Evan Latourrette located?

Evan Latourrette practices at 382 Rosevale Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 667-0388.

What is Evan Latourrette's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Evan Latourrette enrolled in Medicare?

Yes. Evan Latourrette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Evan Latourrette affiliated with any hospitals?

According to CMS data, Evan Latourrette is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Latourrette was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.