Mark Ang Evangelista, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0009258 Issued in DE

Practice address

1501 Middleford Rd
Seaford, DE 19973-3615

Phone

(302) 629-4569

Fax

(302) 628-4669

NPI assigned

Sep 21, 2008

Last updated

Mar 7, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in DE

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

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seaford Internal Medicine LLCGroup PAC ID 5597843763, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tidalhealth Home Care Home health agency, Laurel, DE, CCN 087036
• Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
• Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
• Christianacare Homehealth Home health agency, Camden, DE, CCN 087301
• Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
• Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Merit-based Incentive Payment System (MIPS)

Final score

91.95 of 100Reported as apm

Quality

81.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Seaford Internal Medicine LLC

  • Internal Medicine Physician
  • Seaford, DE
  • NPI 1518016831
  Medicare reassignment Care Compare group NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DE

  Medicare reassignment NPD
• Seaford Internal Medicine LLC

  • Durable Medical Equipment & Medical Supplies
  • Georgetown, DE
  • NPI 1518421403
  NPD

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

• Amedisys Delaware, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Georgetown, DE
  • NPI 1417021700
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Bbkshh, LLC

  dba BAYADA Home Health Care at Bayhealth

  • Home Health Agency
  • Dover, DE
  • NPI 1689100620
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Christiana Care Home Health and Community Services, Inc.

  dba Christiana Care Visiting Nurse Association

  • Home Health Agency
  • Smyrna, DE
  • NPI 1841293438
  Care Compare affiliation
• Peninsula Home Care at Nanticoke LLC

  • Home Health Agency
  • Laurel, DE
  • NPI 1780664953
  Care Compare affiliation
• Saints Home Healthcare, LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Milford, DE
  • NPI 1487706263
  Care Compare affiliation
• Tidalhealth Nanticoke, Inc

  • General Acute Care Hospital
  • Seaford, DE
  • NPI 1245214477
  Care Compare affiliation
• Tidalhealth Peninsula Regional, Inc.

  • General Acute Care Hospital
  • Salisbury, MD
  • NPI 1780689463
  Care Compare affiliation

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1700036241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733615",
            "telephone_number": "302-629-4569",
            "fax_number": "302-628-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733615",
            "telephone_number": "302-629-4569",
            "fax_number": "302-628-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "MARK",
        "middle_name": "ANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-21",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0009258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.