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ANDREW EVANGELISTI DPM
NPI 1164274528
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 01, 2024PECOS Enrolled
4646 N MARINE DR, CHICAGO, IL 60640(773) 878-8700 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Evangelisti Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW EVANGELISTI DPM (NPI 1164274528) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164274528
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW EVANGELISTICredential: DPM
Location Address4646 N MARINE DRChicago, IL 60640-5759
Mailing Address4646 N Marine DrChicago, IL 60640-5759 · (773) 878-8700
Phone(773) 878-8700
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1164274528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4646 N MARINE DR, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Evangelisti Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANAYASH BHATTARAI MD
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225
AMRO ABBAS TAHA
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (177) 391-2073
SHAMEEM SULTANA MD
Anesthesiology
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5966
WEISS MEMORIAL HOSPITAL
Chronic Disease Hospital
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (312) 622-7977
JOHN CHERF MD SC
Orthopaedic Surgery
4646 N MARINE DR, SUITE 3A
CHICAGO, IL 60640
Cook County (800) 843-0355
DR. MICHELE MARIE DELSIGNORE D.O.
Psychiatry & Neurology (Neurology)
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5216
MRS. LAINIE JOY O'DONNELL MA, CCC-SLP
Speech-Language Pathologist
4646 N MARINE DR, OUTPATIENT PHYSICAL THERAPY DEPT. 1ST FLOOR
CHICAGO, IL 60640
Cook County (773) 564-5425
DR. MOHAMMED OMAR JAHANGIR M.D.
Internal Medicine
4646 N MARINE DR
CHICAGO, IL 60640
Cook County (773) 564-5225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Evangelisti's NPI number?

The NPI number for Andrew Evangelisti is 1164274528. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Andrew Evangelisti located?

Andrew Evangelisti practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 878-8700.

What is Andrew Evangelisti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Evangelisti enrolled in Medicare?

Yes. Andrew Evangelisti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Evangelisti was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.