Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Maristella S Evangelista, MD

Individual provider Plastic Surgery Physician · NPI 1962720821

Dr. Maristella S Evangelista, MD is a Plastic and Reconstructive Surgery in Detroit, Michigan. Graduated from Tufts University School of Medicine in 2008, 18 years ago. Licensed in California, Michigan and Ohio.

Years since qualifying
18
Trained at
Tufts University School of Medicine
Licensed in
CA, MI, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 4301116571 (MI)
Plastic Surgery Physician Taxonomy 208200000X · Licence 35127325 (OH)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence A112635 (CA)

Record details

NPI number1962720821
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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