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MICHAEL CEVALLOS DMD
NPI 1154062990
Dentist - General Practice in Washington, DC

Active since April 05, 2022PECOS Enrolled
100 GALLATIN STREET NE, WASHINGTON, DC 20011(202) 483-8196 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 4, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Michael Cevallos Dmd NPPES

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

MICHAEL CEVALLOS DMD (NPI 1154062990) is an individual general practice provider in Washington, District Of Columbia, licensed in District Of Columbia (DEN2000289) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154062990
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL CEVALLOSCredential: DMD
Location Address100 GALLATIN STREET NEWashington, DC 20011-2027
Mailing Address11919 Rimswell MewsMidlothian, VA 23112 · (804) 433-5921
Phone(202) 483-8196
Sole ProprietorYes
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 4, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1154062990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in DC · DEN2000289
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
100 GALLATIN STREET NE, Washington, DC 20011
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Michael Cevallos Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20011 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michael Cevallos's NPI number?

The NPI number for Michael Cevallos is 1154062990. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Michael Cevallos located?

Michael Cevallos practices at 100 Gallatin Street NE, Washington, DC 20011. The listed phone number is (202) 483-8196.

What is Michael Cevallos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Cevallos enrolled in Medicare?

Yes. Michael Cevallos is registered in the Medicare PECOS enrollment system.

What insurance does Michael Cevallos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael Cevallos 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 Michael Cevallos was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.