DR. MARIA V EVANGELISTA MD
NPI 1871583674
Obstetrics & Gynecology in South Bend, IN

Q: What is Maria Evangelista's NPI number?

The NPI number for Maria Evangelista is 1871583674. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Maria Evangelista's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Evangelista was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment

211 N EDDY ST, SOUTH BEND, IN 46617(574) 237-9261(574) 237-9208 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Maria V Evangelista Md NPPES

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

DR. MARIA V EVANGELISTA MD (NPI 1871583674) is an individual obstetrics & gynecology provider in South Bend, Indiana, licensed in Indiana (01048781A) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1871583674

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MARIA V EVANGELISTACredential: MD

Location Address211 N EDDY STSouth Bend, IN 46617-2808

Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 237-9261 · Fax (574) 237-9208

Phone(574) 237-9261

Fax(574) 237-9208

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990

Enumeration DateOctober 24, 2005

Last NPPES UpdateMay 24, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1871583674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01048781A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

211 N EDDY ST, South Bend, IN 46617

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Other Identifiers 1

Medicaid200191780IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maria V Evangelista Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628165578

PECOS Enrollment IDI20111104000417

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 20

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

AUTUMN MARIE HANNA PA

Physician Assistant