IDANIA SIRLENY HIDALGO M.D.
NPI 1154701142
Family Medicine in Grand Prairie, TX

Q: What is Idania Hidalgo's NPI number?

The NPI number for Idania Hidalgo is 1154701142. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Q: What is Idania Hidalgo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Idania Hidalgo was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment

820 S CARRIER PKWY, GRAND PRAIRIE, TX 75051(972) 262-1425(972) 237-4973 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2018, May 2, 2018 (2 updates tracked since 2018).

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About Idania Sirleny Hidalgo M.d. NPPES

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

IDANIA SIRLENY HIDALGO M.D. (NPI 1154701142) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (R3861) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Medical City Arlington, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1154701142

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameIDANIA SIRLENY HIDALGOCredential: M.D.

Location Address820 S CARRIER PKWYGrand Prairie, TX 75051

Mailing Address820 S Carrier PkwyGrand Prairie, TX 75051-1517 · (972) 262-1425 · Fax (972) 237-4973

Phone(972) 262-1425

Fax(972) 237-4973

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2015

Enumeration DateJune 4, 2015

Last NPPES UpdateJuly 24, 20182 updates tracked since enumeration

✔ NPI 1154701142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · R3861✔ Licensed in TX · BP10053768

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.

820 S CARRIER PKWY, Grand Prairie, TX 75051

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Secondary Practice Location 1

Location 11402 W Avenue HTemple, TX 76504-5342 · Phone (254) 771-8401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Idania Sirleny Hidalgo 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 ID5294016614

PECOS Enrollment IDI20180205001179

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.

Medicare Billing Reassignment

Medicare enrollment records show Idania Hidalgo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth

5.5 mi

Urgent Care

4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052

Reassigned Medicare billing, Texas enrollment
562 clinicians in this Medicare group

NPI 1558762690 (972) 522-7778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

120 services76 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

111 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services60 patients

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.

54 services40 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

44 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

41 services41 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450723

Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County

Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670023

Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75051 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers16 claims41 services$5.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MARIANA OTERO SUAREZ MD

Family Medicine