Individual provider Active NPI

Stephen Evangelisti, MD

  • Plastic Surgery Physician
  • Pittsford, NY
National Provider Identifier
1326092107
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
173597-1 Issued in NY
Practice address
735 Pittsford Victor Rd
Pittsford, NY 14534-3937
Phone
(585) 325-1120
Fax
(585) 423-0471
NPI assigned
May 19, 2006
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 173597-1 NY Primary

Addresses

Primary practice location

735 Pittsford Victor Rd
Pittsford, NY 14534-3937

Mailing address

735 Pittsford Victor Rd
Pittsford, NY 14534-3937
Phone (585) 325-1120

Other identifiers 1

IdentifierTypeStateIssuer
01669589MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040410000104 NY Practitioner - Plastic and Reconstructive Surgery 8224022520 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Rochester School of Medicine and Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Lac de Ville Blvd
Rochester, NY 14618-5660
Phone (585) 325-1120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy46
Melanoma (skin cancer) excision30
Removal of tissue1-10
Removal of skin lesions26
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
173597-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Past Accepting new patients
Westfall Dental LLP Past Accepting new patients
Sari R. Manap Dental, PLLC PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1326092107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PITTSFORD VICTOR RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343937",
            "telephone_number": "585-325-1120",
            "fax_number": "585-423-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PITTSFORD VICTOR RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343937",
            "telephone_number": "585-325-1120",
            "fax_number": "585-423-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "173597-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01669589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.