EVOLUTIS, LLC
NPI 1821657941
Psychologist - Clinical in Vienna, WV

Active since June 12, 2019
1504 GRAND CENTRAL AVE, VIENNA, WV 26105(877) 219-8726(847) 960-5360 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2022, Feb 10, 2021, Feb 2, 2021 and 3 more (6 updates tracked since 2019).

About Evolutis, Llc NPPES

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

EVOLUTIS, LLC (NPI 1821657941) is a healthcare organization registered as a clinical in Vienna, West Virginia and active in the NPI registry since June 2019. The organization maintains 4 additional practice locations and lists Sheel A Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821657941
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEVOLUTIS, LLC
Location Address1504 GRAND CENTRAL AVEVienna, WV 26105-1058
Mailing AddressPo Box 3120Munster, IN 46321-0120 · (877) 219-8726
Fax(847) 960-5360
Organization SubpartNo
Authorized OfficialSheel A PatelCeo · (304) 615-8102
Enumeration DateJune 12, 2019
Last NPPES UpdateSeptember 15, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1821657941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1504 GRAND CENTRAL AVE, Vienna, WV 26105

Secondary Practice Locations 4

Location 1220 E Illinois St Apt 5007Chicago, IL 60611-5134 · Phone (304) 615-8102
Location 2541 Otis Bowen DrMunster, IN 46321-4158 · Phone (219) 934-5300
Location 31267 Willis St Ste 200Redding, CA 96001-0400 · Phone (877) 219-8726
Location 41150 First Ave Ste 511King Of Prussia, PA 19406-1316 · Phone (877) 219-8726

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolutis, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by November 30, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKansasEnrollment IDO20210806000814Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
StateOhioEnrollment IDO20210811003445Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Evolutis, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Psychologist10
Anesthesiology1

Clinicians, nearest first (11)

Clinical Psychologist
NPI 1265656516
1001 WOODWARD AVE FL 5
Detroit, MI 48226
(313) 739-7836
✔ PECOS✔ Accepts Medicare222 mi
Clinical Psychologist
NPI 1376827915
1800 N MERIDIAN ST STE 202
Indianapolis, IN 46202
(317) 981-5503
✔ PECOS248 mi
Clinical Psychologist
NPI 1073744496
550 UNIVERSITY BLVD UH 1634
Indianapolis, IN 46202
(317) 948-6997
✔ PECOS✔ Accepts Medicare249 mi
Clinical Psychologist
NPI 1427485655
148 SAGAMORE PKWY W
West Lafayette, IN 47906
(765) 463-3016
✔ PECOS✔ Accepts Medicare295 mi
Anesthesiology
NPI 1558657346
3630 WILLOWCREEK RD STE 9
Portage, IN 46368
(219) 364-3700
✔ PECOS✔ Accepts Medicare334 mi
Clinical Psychologist
NPI 1871810481
180 N MICHIGAN AVE STE 500
Chicago, IL 60601
(312) 532-1225
✔ PECOS✔ Accepts Medicare365 mi
Clinical Psychologist
NPI 1164973707
5000 S 5TH AVE HINES VA HOSPITAL/ BLDG 128 RM A114
Hines, IL 60141
(708) 202-8387
✔ PECOS✔ Accepts Medicare374 mi
Clinical Psychologist
NPI 1174072698
2400 AUGUSTA DR
Houston, TX 77057
(832) 665-2295
✔ PECOS✔ Accepts Medicare1,031 mi
Clinical Psychologist
NPI 1447262720
4242 MEDICAL DR SUITE 6300
San Antonio, TX 78229
(210) 614-8165
✔ PECOS✔ Accepts Medicare1,180 mi
Clinical Psychologist
NPI 1215308929
405 S WILCOX ST STE 104
Castle Rock, CO 80104
(719) 322-8175
✔ PECOS✔ Accepts Medicare1,245 mi
Clinical Psychologist
NPI 1831634161
4102 PINION DR
Usaf Academy, CO 80840
(719) 524-2273
✔ PECOS✔ Accepts Medicare1,250 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evolutis, LLC's NPI number?

The NPI number for Evolutis, LLC is 1821657941. It was assigned to this organization in the NPPES registry on June 12, 2019.

Where is Evolutis, LLC located?

Evolutis, LLC is located at 1504 Grand Central Ave, Vienna, WV 26105. The listed phone number is (877) 219-8726.

What is Evolutis, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Evolutis, LLC enrolled in Medicare?

Yes. Evolutis, LLC is registered in the Medicare PECOS enrollment system.

When is Evolutis, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Evolutis, LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by November 30, 2026 (Non-DME Part B, Kansas, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Evolutis, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Evolutis, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (10) and Anesthesiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evolutis, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Texas and 4 other insurers list Evolutis, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evolutis, LLC was last updated on September 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.