EVAN ROBERT AMMERMAN MD
NPI 1760123459
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since April 05, 2022PECOS Enrolled
4401 PENN AVE, PITTSBURGH, PA 15224(412) 692-5540 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Evan Robert Ammerman Md NPPES

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

EVAN ROBERT AMMERMAN MD (NPI 1760123459) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1760123459
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN ROBERT AMMERMANCredential: MD
Location Address4401 PENN AVEPittsburgh, PA 15224-1334
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1760123459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4401 PENN AVE, Pittsburgh, PA 15224

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8211

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 Robert Ammerman 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 20

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

Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224

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 Ammerman's NPI number?

The NPI number for Evan Ammerman is 1760123459. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Evan Ammerman located?

Evan Ammerman practices at 4401 Penn Ave, Pittsburgh, PA 15224. The listed phone number is (412) 692-5540.

What is Evan Ammerman'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 Ammerman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Ammerman was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.