DR. MARK ANG EVANGELISTA (M.D.) – Internal Medicine Physician, NPI 1700036241

DR. MARK ANG EVANGELISTA (M.D.) is a healthcare provider. based in Seaford, Delaware. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. C1-0009258 (DE). The NPI Number for DR. MARK ANG EVANGELISTA (M.D.) is 1700036241

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ANG EVANGELISTA (M.D.)
NPI
1700036241
Phone
(302) 629-4569
Address
1501 MIDDLEFORD RD
Enumeration Date
21 September 2008
Last Update Date
7 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026294569
Graduation Year
2004 (22 years ago)
PAC ID
3375676497
Group Practice PAC ID
5597843763
Professional Enrollment ID
I20100727000021
Address ID
DE199733615SE1501XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

777 INTERNAL MEDICINE in DE

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Provider Addresses for DR. MARK ANG EVANGELISTA (M.D.)

  • 1501, Middleford Road, The Island, Seaford, Sussex County, Delaware, 19973, United States

    SEAFORD, DE 199733615

    Phone: (302) 629-4569

    Fax: (302) 628-4669

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 146 Open Payments records for all available years, with a total value of $2,677.

Total Amount is formed as General ($2,677) + Research ($0) + Ownership ($0) = $2,677.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($688).

Total Amount

$2,677

General + Research + Ownership

Payments

146

Total payment records

General Amount

$2,677

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100727000021IInternal MedicineDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2,035794$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit657657$0
99213Established patient office or other outpatient visit, 20-29 minutes611502$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use5959$0
G0009Administration of pneumococcal vaccine5656$0
View full utilization report →

Insurance plans in this area (ZIP 19973)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597843763View full group profile
NameSpecialtyState
Internal MedicineDE
Nurse PractitionerDE
Nurse PractitionerDE
Internal MedicineMD
Internal MedicineDE
Internal MedicineAZ
-MD

Reviews

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Frequently asked questions

How do I look up DR. MARK ANG EVANGELISTA (M.D.) by NPI?
Use NPI 1700036241 when you need to reference DR. MARK ANG EVANGELISTA (M.D.) in forms, claims, or directories.
Does this profile mean DR. MARK ANG EVANGELISTA (M.D.) is currently active?
Yes — DR. MARK ANG EVANGELISTA (M.D.) appears active in the national provider directory.
What field does DR. MARK ANG EVANGELISTA (M.D.) work in?
You can think of DR. MARK ANG EVANGELISTA (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK ANG EVANGELISTA (M.D.)?
The snapshot lists Seaford, Delaware for DR. MARK ANG EVANGELISTA (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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