DR. EVAN KYO TAMURA (MD) – Family Medicine Physician, NPI 1558724559

DR. EVAN KYO TAMURA (MD) is a healthcare provider. based in Newark, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 11055198-1205 (UT). The NPI Number for DR. EVAN KYO TAMURA (MD) is 1558724559

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN KYO TAMURA (MD)
NPI
1558724559
Phone
(614) 274-1455
Address
69 S Terrace Ave
Enumeration Date
29 March 2016
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
61427414556231
Graduation Year
2011 (15 years ago)
PAC ID
4880924851
Group Practice PAC ID
5193794188
Professional Enrollment ID
I20210428001117
Address ID
OH432221352CO1160XSTXX400

Contacts

Main Contact
NextGen
Main Contact
Epic
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. EVAN KYO TAMURA (MD)

  • 69 S Terrace Ave

    Newark, OH 430551355

    Phone: (614) 274-1455

    Fax: (614) 274-1433

    Type: Location

  • 9436, Slauson Avenue, Pico Rivera, Los Angeles County, California, 90660, United States

    PICO RIVERA, CA 906604748

    Phone: (562) 949-6069

    Type: Mailing

  • 1160 W BROAD ST

    COLUMBUS, OH 432221352

    Phone: (614) 274-1455

    Fax: (614) 274-1433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Abbott Laboratories ($24).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-28

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210428001117IFamily PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193794188View full group profile
NameSpecialtyState
-OH
Family Practice, Obstetrics/GynecologyAL
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What identifier follows DR. EVAN KYO TAMURA (MD) across health systems?
The NPI 1558724559 uniquely identifies DR. EVAN KYO TAMURA (MD) in U.S. healthcare data.
Is DR. EVAN KYO TAMURA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. EVAN KYO TAMURA (MD) as active.
What does the directory say DR. EVAN KYO TAMURA (MD) does?
Insurance directories may phrase it differently, but here DR. EVAN KYO TAMURA (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. EVAN KYO TAMURA (MD)?
The directory associates DR. EVAN KYO TAMURA (MD) with Newark, Ohio. Check all listed addresses for suites or satellite offices.
Can I export DR. EVAN KYO TAMURA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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