EDGAR J EVANGELISTA (MD) – Clinical Neurophysiology Physician, NPI 1669693081

EDGAR J EVANGELISTA (MD) is a healthcare provider. based in Henderson, Nevada. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 12377 (NV). The NPI Number for EDGAR J EVANGELISTA (MD) is 1669693081

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR J EVANGELISTA (MD)
NPI
1669693081
Phone
(702) 800-7831
Address
1452 W HORIZON RIDGE PKWY STE 566
Enumeration Date
2 May 2007
Last Update Date
22 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028007831
Graduation Year
1995 (31 years ago)
PAC ID
7315990959
Professional Enrollment ID
I20070904000333
Address ID
NV891195192LA2110XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

165 NEUROLOGY in NV

Provider Addresses for EDGAR J EVANGELISTA (MD)

  • 1452 W HORIZON RIDGE PKWY STE 566

    HENDERSON, NV 890124422

    Phone: (702) 800-7831

    Fax: (702) 823-0265

    Type: Mailing

  • 4560 S EASTERN AVE STE 18

    LAS VEGAS, NV 891196182

    Phone: (702) 800-7831

    Fax: (702) 823-0265

    Type: Location

  • 1452 W HORIZON RIDGE PKWY # 566

    HENDERSON, NV 890124422

    Phone: (702) 800-7831

    Fax: (877) 409-2014

    Type: Mailing

  • 2110 E FLAMINGO RD STE 201

    LAS VEGAS, NV 891195192

    Phone: (702) 800-7831

    Fax: (877) 409-2014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 270 Open Payments records for all available years, with a total value of $5,691.

Total Amount is formed as General ($5,691) + Research ($0) + Ownership ($0) = $5,691.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,142).

Total Amount

$5,691

General + Research + Ownership

Payments

270

Total payment records

General Amount

$5,691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2007-09-04

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
I20070904000333INeurologyNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes239127$0
99214Established patient office or other outpatient visit, 30-39 minutes6451$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study3424$0
95887Needle measurement of electrical activity in trunk or head muscles3224$0
View full utilization report →

Insurance plans in this area (ZIP 89012)

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Reviews

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Frequently asked questions

What identifier follows EDGAR J EVANGELISTA (MD) across health systems?
The NPI 1669693081 uniquely identifies EDGAR J EVANGELISTA (MD) in U.S. healthcare data.
Should I treat EDGAR J EVANGELISTA (MD) as an active provider?
Patients and plans typically see EDGAR J EVANGELISTA (MD) as active in the national extract.
Which specialty label fits EDGAR J EVANGELISTA (MD)?
NPPES ties EDGAR J EVANGELISTA (MD) to Clinical Neurophysiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit EDGAR J EVANGELISTA (MD) in Henderson, Nevada?
For routing, start with Henderson, Nevada for EDGAR J EVANGELISTA (MD), then verify phone and hours locally.
Why is information missing for EDGAR J EVANGELISTA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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