DR. RUDOLPH FRANCIS EVONICH M.D. NPI 1205909967

NPI Information

  • NPI: 1205909967
  • Provider Name: DR. RUDOLPH FRANCIS EVONICH, M.D.
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 744 S WEBSTER AVE FL 2
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 433-3640

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NPI Details

DR. Rudolph Francis Evonich, M.D. is a clinical cardiac electrophysiology internal medicine in Green Bay, WI with 26 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Rudolph Francis Evonich, M.D. NPI is 1205909967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2000

The provider's business location address is:

744 S WEBSTER AVE FL 2
GREEN BAY, WI
ZIP 54301-505
Phone: (920) 433-3640
Fax: (920) 433-3716

The NPI 1205909967 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services (HCPCS:93798)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation (HCPCS:93656)
  • Insertion of catheters and destruction of tissue to treat abnormal heart rhythm (HCPCS:93655)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system (HCPCS:93289)
  • Insertion of catheters for recording and pacing of left lower heart chamber rhythm and induction of abnormal rhythm (HCPCS:93622)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 4/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology21241-875WISCONSINNo
2207RC0001XInternal MedicineClinical Cardiac Electrophysiology4301076776MICHIGANNo
3207RC0001XInternal MedicineClinical Cardiac Electrophysiology77869-20WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00412659OTHERRAILROAD MEDICARE
20605210971OTHERMICHIGANBLUE CROSS BLUE SHIELD
35184312MEDICAIDMICHIGAN
434966000MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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