Adelbert Evangelista, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42221 Issued in AZ

Practice address

2281 W 24TH St
Yuma, AZ 85364-6154

Phone

(928) 726-6772

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Evangelista Medical Group, PCGroup PAC ID 5294873733, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score

23.18 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Evangelista Medical Group, PC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1295968584
  Medicare reassignment Care Compare group Authorized official
• Bio Family Clinic Inc

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1821387051
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the West, LLC

  • Home Health Agency
  • Yuma, AZ
  • NPI 1962854331
  Care Compare affiliation
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1629018619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5147",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662458",
            "telephone_number": "928-726-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646154",
            "telephone_number": "928-726-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "ADELBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "2706708385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylah Daniella Shanell Estrada
• Sol Alina Estrada I
• Eternity Home Health of Yuma LLC
• William Bruce Ethridge, MD
• Evangelista Medical Group, PC
• Jemylene Ronsayro Evangelista, M.D.
• Charles W Evans, FOSTER PARENT
• Devon Zenobia Evans, R.N.
• Joanne M. Evans, LCSW
• Marilyn Ann Evans

• Family Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.

Verify at the official NPI Registry.