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NPI Code Detail

MEDICARE: EVOLVEDMD, INC.

MEDICARE: EVOLVEDMD, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1821613704
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVOLVEDMD, INC.
Provider Business Mailing Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 480-877-9284
Fax Number : 480-452-1976
Provider Business Practice Location Address
First Line : 1375 N SCOTTSDALE RD STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3429
Country : US
Telephone Number : 480-877-9284
Fax Number : 480-452-1976
Authorized Official
Title or Position : CHIEF COMMERCIAL OFFICER
Name : STEVEN BILJAN
Credential :
Telephone Number : 480-877-9284
Provider Enumeration Date : 06/16/2020
Last Update Date : 02/04/2026

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