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EVAN ANDERSON MD
NPI 1457102832
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 01, 2024PECOS Enrolled
1701 N SENATE BLVD # B401, INDIANAPOLIS, IN 46202(313) 916-3849 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Evan Anderson Md NPPES

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

EVAN ANDERSON MD (NPI 1457102832) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457102832
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN ANDERSONCredential: MD
Location Address1701 N SENATE BLVD # B401Indianapolis, IN 46202-1239
Mailing Address1701 N Senate Blvd # B401Indianapolis, IN 46202-1239 · (313) 916-3849
Phone(313) 916-3849
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1457102832 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.
1701 N SENATE BLVD # B401, Indianapolis, IN 46202
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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 (PECOS)

Evan Anderson 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 4

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

DR. ERIN MACDONALD OWENS M.D.
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (214) 450-5001
ALFRED Z WANG MD
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
DR. KIMBERLY JEAN VANRYZIN M.D.
Student in an Organized Health Care Education/Training Program
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
ANNE C WHITEHEAD MD
Emergency Medicine
1701 N SENATE BLVD # B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975

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 Anderson's NPI number?

The NPI number for Evan Anderson is 1457102832. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Evan Anderson located?

Evan Anderson practices at 1701 N Senate Blvd # B401, Indianapolis, IN 46202. The listed phone number is (313) 916-3849.

What is Evan Anderson'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 Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Anderson was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.