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DR. SANDRO EVANGELISTA DDS
NPI 1639193584
Dentist - General Practice in Highland, NY

Active since July 26, 2006PECOS Enrolled
494 ROUTE 299, HIGHLAND, NY 12528(845) 691-5600(845) 691-8633 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandro Evangelista Dds NPPES

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

DR. SANDRO EVANGELISTA DDS (NPI 1639193584) is an individual general practice provider in Highland, New York, licensed in New York (045572) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scarsdale.

NPPES Registry Identity

NPI1639193584
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SANDRO EVANGELISTACredential: DDS
Location Address494 ROUTE 299Highland, NY 12528-2833
Mailing Address494 Route 299Highland, NY 12528-2833 · (845) 691-5600 · Fax (845) 691-8633
Phone(845) 691-5600
Fax(845) 691-8633
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 14, 2018
✔ NPI 1639193584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 045572
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
494 ROUTE 299, Highland, NY 12528
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Secondary Practice Location 1

Location 1455 Central Park Ave, ste 315 AScarsdale, NY 10583-1060 · Phone (914) 723-5260 · Fax (914) 723-5263

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandro Evangelista Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. BRUCE D. KUREK DDS
Dentist
494 ROUTE 299
HIGHLAND, NY 12528
Ulster County (845) 691-5600

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 Sandro Evangelista's NPI number?

The NPI number for Sandro Evangelista is 1639193584. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Sandro Evangelista located?

Sandro Evangelista practices at 494 Route 299, Highland, NY 12528. The listed phone number is (845) 691-5600.

What is Sandro Evangelista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sandro Evangelista enrolled in Medicare?

Yes. Sandro Evangelista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandro Evangelista was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.