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DR. EVAN LOVULLO DC
NPI 1982422135
Chiropractor in Kenmore, NY

Active since September 27, 2024Accepts Medicare Assignment
989 KENMORE AVE, KENMORE, NY 14217(716) 335-9711 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2024, Sep 27, 2024 (2 updates tracked since 2024).

About Dr. Evan Lovullo Dc NPPES

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

DR. EVAN LOVULLO DC (NPI 1982422135) is an individual chiropractor in Kenmore, New York, licensed in New York (013880) and active in the NPI registry since September 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1982422135
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. EVAN LOVULLOCredential: DC
Location Address989 KENMORE AVEKenmore, NY 14217-2924
Mailing Address23 Kathryn DrOrchard Park, NY 14127-2024 · (716) 536-2000
Phone(716) 335-9711
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 27, 2024
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1982422135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 013880
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
989 KENMORE AVE, Kenmore, NY 14217
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Evan Lovullo Dc 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 ID7810429354
PECOS Enrollment IDI20241022002096

Medicare Billing Reassignment

Medicare enrollment records show Evan Lovullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marciniak Chiropractic PLLC
0.7 mi
Chiropractor
2625 DELAWARE AVE STE 102
Buffalo, NY 14216
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1942610183 (716) 335-9711

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

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.

MELISSA GOFF
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 877-2728
ALISON DUFFY BELLOWS LMT
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 335-9711
MAGDOLYN MULLEN
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 335-9711
DONALD KOSTOROWSKI
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 335-9711
MR. RAEMELL CHERROD JOHNSON LMT
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 335-9711
MICHAEL WEBSTER
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 877-2728
CHRISTINA OLSON
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 877-2728
MISS MONIQUE MARIE GIAMBELLUCA LMT
Massage Therapist
989 KENMORE AVE
KENMORE, NY 14217
Erie County (716) 877-2728

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 Lovullo's NPI number?

The NPI number for Evan Lovullo is 1982422135. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Evan Lovullo located?

Evan Lovullo practices at 989 Kenmore Ave, Kenmore, NY 14217. The listed phone number is (716) 335-9711.

What is Evan Lovullo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Evan Lovullo enrolled in Medicare?

Yes. Evan Lovullo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Evan Lovullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Lovullo reassigns Medicare benefits to Marciniak Chiropractic PLLC (Buffalo, NY). The 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 Evan Lovullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Lovullo was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.