EVAN CHARLES CUMPSTON MD NPI 1376905877

NPI Information

NPI: 1376905877
Provider Name: EVAN CHARLES CUMPSTON, MD
Classification: Otolaryngology - 207YX0901X
Specialization: Otology & Neurotology
Entity Type: Individual
PECOS Registration: Yes
Address: 355 W 16TH ST STE 3000
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 963-7082

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NPI Details

Evan Charles Cumpston, MD is an otology and neurotology otolaryngology in Indianapolis, IN with 10 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. Evan Charles Cumpston, MD NPI is 1376905877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2016

The provider's business location address is:

355 W 16TH ST STE 3000
INDIANAPOLIS, IN
ZIP 46202-207
Phone: (317) 963-7082
Fax: (317) 963-7085

The NPI 1376905877 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 enumeration date for this NPI number is 3/23/2016 and was last updated on 4/11/2025.

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
1	207Y00000X	Otolaryngology		01087739A	INDIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207YX0901X	Otolaryngology	Otology & Neurotology	01087739A	INDIANA	Yes

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
1	300062370	MEDICAID	INDIANA
2	000001667242	OTHER	INDIANA	ANTHEM PTAN

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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