EDGAR EVANGELISTA MD PC
EDGAR EVANGELISTA MD PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1396028619, based in Las Vegas, NV. The organization lists 4 taxonomy classifications, with Clinical Neurophysiology Physician recorded as primary.
Getting there
The practice address on file is 2110 E FLAMINGO RD STE 201, Las Vegas, NV 89119. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9537334628
- Enrollment ID
- O20111220000159
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Neurophysiology covers
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NUCC Health Care Provider Taxonomy, code 2084N0600X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0600X | Clinical Neurophysiology Physician Clinical Neurophysiology | — | — | primary |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician Diagnostic Neuroimaging | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 363L00000X | Nurse Practitioner | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1396028619 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 22, 2011 |
| Last updated | May 22, 2024 |
| Status | Active |
| Practice address |
2110 E FLAMINGO RD STE 201 Las Vegas, NV 89119 (702) 800-7831 Fax (877) 409-2014 |
| Mailing address |
1452 W HORIZON RIDGE PKWY # 566 Henderson, NV 89012 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 9 | 6 | 0 | 2 | 8 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 9 | 6 | 0 | 2 | 7 | 6 | 2 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.