DR. EVAN EDMUND HUSTED MD
NPI 1558523712
Emergency Medicine in Philadelphia, PA

Active since June 30, 2008PECOS Enrolled
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-9837 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Evan Edmund Husted Md NPPES

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

DR. EVAN EDMUND HUSTED MD (NPI 1558523712) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA08940200) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558523712
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. EVAN EDMUND HUSTEDCredential: MD
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address134 Lake View DriveMedia, PA 19063
Sole ProprietorYes
Enumeration DateJune 30, 2008
Last NPPES UpdateAugust 15, 2016
NPI 1558523712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NJ · 25MA08940200 Licensed in PA · MT193861
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 S 11TH ST, Philadelphia, PA 19107

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 Edmund Husted 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Husted's NPI number?

The NPI number for Evan Husted is 1558523712. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Evan Husted located?

Evan Husted practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-9837.

What is Evan Husted's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Evan Husted enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Husted was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.