CRISANTO G DIMAFELIX M.D.
NPI 1003853722
Family Medicine in Addison, TX

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
15810 MIDWAY ROAD, ADDISON, TX 75001(972) 458-8111(972) 458-7776 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crisanto G Dimafelix M.d. NPPES

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

CRISANTO G DIMAFELIX M.D. (NPI 1003853722) is an individual family medicine provider in Addison, Texas, licensed in Texas (M2606) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1003853722
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRISANTO G DIMAFELIXCredential: M.D.
Location Address15810 MIDWAY ROADAddison, TX 75001
Mailing Address1041 Grimes DriveForney, TX 75126
Fax(972) 458-7776
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 26, 2019
NPI 1003853722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M2606
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15810 MIDWAY ROAD, Addison, TX 75001

Accepted 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

Crisanto G Dimafelix M.d. 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 ID4789608555
PECOS Enrollment IDI20241101001949
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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75001 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
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 3

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

Clinic/Center (Health Service)
15810 MIDWAY ROAD
ADDISON, TX 75001
Clinic/Center (Urgent Care)
15810 MIDWAY ROAD
ADDISON, TX 75001
Clinic/Center (Occupational Medicine)
15810 MIDWAY ROAD
ADDISON, TX 75001

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 Crisanto Dimafelix's NPI number?

The NPI number for Crisanto Dimafelix is 1003853722. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Crisanto Dimafelix located?

Crisanto Dimafelix practices at 15810 Midway Road, Addison, TX 75001. The listed phone number is (972) 458-8111.

What is Crisanto Dimafelix's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crisanto Dimafelix enrolled in Medicare?

Yes. Crisanto Dimafelix is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crisanto Dimafelix accept?

Health plans from Blue Cross and Blue Shield of Texas list Crisanto Dimafelix 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.

When was this NPI record last updated?

The NPPES record for Crisanto Dimafelix was last updated on February 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.