KENISHA JEAN EVANS (MD) – Internal Medicine Physician, NPI 1447770722
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,990 INTERNAL MEDICINE in PA
Provider Addresses for KENISHA JEAN EVANS (MD)
4201 ST. ANTOINE ST. SUITE. 2E
UNIVERSITY HEALTH CENTER
DETROIT, MI 48201
Phone:
Type: Mailing
23894 WHITE PINE ST
FLAT ROCK, MI 481342303
Phone: (248) 721-6839
Type: Mailing
1540 Alexandra Ln
Harrisburg, PA 171103656
Phone: (717) 798-3363
Fax: (717) 798-3364
Type: Location
Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012153
Phone: (313) 745-4832
Type: Location
1540 ALEXANDRA LN
HARRISBURG, PA 171103656
Phone: (717) 798-3363
Fax: (717) 798-3364
Type: Mailing
17260 W 10 MILE RD
SOUTHFIELD, MI 480752949
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240124001781 | I | Internal Medicine | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 112 | 63 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 34 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 23 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI |
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