Maristella Evangelista, MD, PC
NPI 1205795630ActiveOrganization· Plastic Surgery· Bloomfield Hills, MI
Plastic Surgery in Bloomfield Hills, Michigan, registered in NPPES in January 2026. The authorized official on file is Travis Ommert, Cfo.
Overview
| NPI | 1205795630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2026 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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