Edgar J Evangelista, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

12377 Issued in NV

Practice address

2110 E Flamingo Rd Ste 201
Las Vegas, NV 89119-5192

Phone

(702) 800-7831

Fax

(877) 409-2014

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Neurology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AECDAD/Endpoint/AECDAD

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.

• Edgar Evangelista MD PC

  • Clinical Neurophysiology Physician
  • Las Vegas, NV
  • NPI 1396028619
  Medicare reassignment Authorized official
• Boulder City Hospital Inc

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1831234558
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1528101284
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Yu Neurology and Electrodiagnostic Center of Nevada LTD

  • Clinical Neurophysiology Physician
  • Henderson, NV
  • NPI 1851314264

  Neurology

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1669693081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W HORIZON RIDGE PKWY # 566",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124422",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195192",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "EDGAR",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NV",
            "license": "12377",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "12377",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": "12377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Philip Evan
• Charles Evanes
• Ana Curita Evangelista
• Dahlia Evangelista
• Divina Evangelista
• Estrella P Evangelista, DNP, MED, PMHNP-BC
• Gemma-Lynn Cruz Evangelista
• Jonathan Evangelista
• Leah Delilah Evangelista
• Rebecca Evangelisti

• Clinical Neurophysiology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Neurophysiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.