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DR. MARISTELLA S EVANGELISTA MD
NPI 1962720821
Surgery - Plastic and Reconstructive Surgery in Detroit, MI

Active since May 17, 2010PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2378 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, Nov 25, 2015 (2 updates tracked since 2015).

About Dr. Maristella S Evangelista Md NPPES

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

DR. MARISTELLA S EVANGELISTA MD (NPI 1962720821) is an individual plastic and reconstructive surgery provider in Detroit, Michigan, licensed in Michigan (4301116571) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Tufts University School Of Medicine (2008).

NPPES Registry Identity

NPI1962720821
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. MARISTELLA S EVANGELISTACredential: MD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address1293 Southfield RdBirmingham, MI 48009-3081 · (734) 945-7295
Phone(313) 916-2378
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2008
Enumeration DateMay 17, 2010
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1962720821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in MI · 4301116571✔ Licensed in CA · A112635
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 35127325 (OH)
2799 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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. Maristella S Evangelista Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648497040
PECOS Enrollment IDI20181212002934
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.

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

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.

MRS. AMY B DECKER MS, CGC
Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Wayne County (313) 916-1303
CLARA TAPANINEN NP
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-5445
HENRY FORD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Wayne County (313) 916-2927
IMRAN KHALID M.D.
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Wayne County (313) 705-2186
DR. GARY STEVEN ASSARIAN D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (248) 358-4510
DR. DAVID J KASTAN M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Wayne County (313) 916-7425
JESSICA LYNN STAMATIS PAC
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALLISON JANE WEINMANN MD
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 874-6764

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 Maristella Evangelista's NPI number?

The NPI number for Maristella Evangelista is 1962720821. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Maristella Evangelista located?

Maristella Evangelista practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2378.

What is Maristella Evangelista's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Maristella Evangelista enrolled in Medicare?

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

What insurance does Maristella Evangelista accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Maristella Evangelista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maristella Evangelista affiliated with any hospitals?

According to CMS data, Maristella Evangelista is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Maristella Evangelista was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.