PAUL A EVTIMOV PA-C
NPI 1649064197
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Paul Evtimov's NPI number?

The NPI number for Paul Evtimov is 1649064197. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Q: What is Paul Evtimov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Paul Evtimov was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 April 08, 2025PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 850, PHOENIX, AZ 85013(602) 406-1150(602) 406-1159 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jul 10, 2025, Apr 8, 2025 (3 updates tracked since 2025).

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About Paul A Evtimov Pa-c NPPES

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

PAUL A EVTIMOV PA-C (NPI 1649064197) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (11160) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649064197

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NamePAUL A EVTIMOVCredential: PA-C

Location Address500 W THOMAS RD STE 850Phoenix, AZ 85013-4218

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-1150

Fax(602) 406-1159

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 8, 2025

Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1649064197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 11160

Also ListedPhysician AssistantTaxonomy 363A00000X

500 W THOMAS RD STE 850, Phoenix, AZ 85013

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Secondary Practice Location 1

Location 1485 S Dobson Rd Ste 203Chandler, AZ 85224-5604 · Phone (480) 728-2690 · Fax (480) 728-2689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Paul A Evtimov Pa-c 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 ID244746287

PECOS Enrollment IDI20250717004016

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 15

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

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