EVANS MEDICAL FOUNDATION INC. NPI 1912954124

NPI Information

  • NPI: 1912954124
  • Provider Name: EVANS MEDICAL FOUNDATION, INC.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Former Legal Business Name: FACULTY PRACTICE FOUNDATION INC EVANS MEDICAL FOUNDATION INC
  • Address: 1 BOSTON MEDICAL CTR PL
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 358-3510

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NPI Details

EVANS MEDICAL FOUNDATION, INC. is an internal medicine in Boston, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EVANS MEDICAL FOUNDATION, INC. NPI is 1912954124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Faculty Practice Foundation Inc Evans Medical Foundation Inc.

The provider's business location address is:

1 BOSTON MEDICAL CTR PL
BOSTON, MA
ZIP 02118-908
Phone: (617) 358-3510

The provider's authorized official is Sushrut S. Waikar .
The authorized official title is Interim President and has the following contact phone number (617) 414-8680.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 6/10/2024.

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
1207R00000XInternal MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RG0300XInternal MedicineGeriatric MedicineNo
6207RH0003XInternal MedicineHematology & OncologyNo
7207RI0200XInternal MedicineInfectious DiseaseNo
8207RN0300XInternal MedicineNephrologyNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207RR0500XInternal MedicineRheumatologyNo
11363LA2200XNurse PractitionerAdult HealthNo

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
13089030MEDICAIDNEW HAMPSHIRE
2110056578EMEDICAIDMASSACHUSETTS

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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