Active NPI
Stephen Evangelisti, MD
- Plastic Surgery Physician
- Pittsford, NY
National Provider Identifier
1326092107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 173597-1
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01669589 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 46 |
| Melanoma (skin cancer) excision | 30 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 26 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173597-1 | NY | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Past | Accepting new patients | |
| Westfall Dental LLP | Past | Accepting new patients | |
| Sari R. Manap Dental, PLLC | Past | 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.
-
- Plastic Surgery Physician
- Rochester, NY
- NPI 1013416338
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
dba Westfall Dental Studio
- Pediatric Dentistry
- Rochester, NY
- NPI 1225915796
-
- Dentist
- Rochester, NY
- NPI 1225152689
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
- Empire Vision Center Inc (Empire Vision Centers)
- Nicole Bari Erlichman, LCSW-R
- Jaime Janelle Erskine, PA
- Mary Mackey Erturk, RN
- Mary Juanita Erway, NP
- Evolve Physical Therapy of Rochester PLLC
- Patricia Fama, P.T.
- Fantuzzo Oral, Maxillofacial, and Dental Implant Surgery, PLLC
- Rachel Leah Farkas, M.D.
- Evan Schweigert Farley, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.