DR. GILBERTO JIMENEZ-JUSTINIANO M.D.
NPI 1619933504
Internal Medicine - Hematology & Oncology in Irving, TX

Q: What is Gilberto Jimenez-justiniano's NPI number?

The NPI number for Gilberto Jimenez-justiniano is 1619933504. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Gilberto Jimenez-justiniano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

89.44/100

CMS Quality Rating

2021 N MACARTHUR BLVD STE 400, IRVING, TX 75061(972) 256-3537(722) 255-7916 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Gilberto Jimenez-justiniano M.d. NPPES

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

DR. GILBERTO JIMENEZ-JUSTINIANO M.D. (NPI 1619933504) is an individual hematology & oncology provider in Irving, Texas, licensed in Puerto Rico (15368) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1619933504

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. GILBERTO JIMENEZ-JUSTINIANOCredential: M.D.

Location Address2021 N MACARTHUR BLVD STE 400Irving, TX 75061-2226

Mailing Address3001 E President George Bush Hwy Ste 100Richardson, TX 75082-3542 · (972) 997-8180 · Fax (832) 601-8191

Phone(972) 256-3537

Fax(722) 255-7916

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 21, 2006

Last NPPES UpdateSeptember 23, 2020

NPPES CertifiedSeptember 23, 2020

✔ NPI 1619933504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in PR · 15368

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 15368 (PR)

2021 N MACARTHUR BLVD STE 400, Irving, TX 75061

Open in Google Maps ↗

Secondary Practice Location 1

Location 11501 W Royal LnIrving, TX 75063-3213 · Phone (469) 513-5500 · Fax (469) 420-9600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Gilberto Jimenez-justiniano 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 ID4789602996

PECOS Enrollment IDI20081215000491

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 Gilberto Jimenez-justiniano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Oncology PA

11 mi

Medical Oncology

3410 WORTH ST
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
1,054 clinicians in this Medicare group

NPI 1003083445 (972) 997-8000

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 28

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.

Injection, iron sucrose, 1 mg J1756

Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.

10,100 services19 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,035 services24 patients

Injection, palonosetron hcl, 25 mcg J2469

Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.

470 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

333 services107 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

300 services103 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

254 services101 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.

238 services114 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

159 services31 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

107 services34 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

91 services37 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

76 services19 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

71 services31 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

71 services31 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

71 services31 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

61 services16 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.

58 services41 patients

Administration of additional new drug or substance into vein, 1 hour or less 96417

This procedure involves introducing a new drug or substance into your vein, typically via an IV drip. It lasts for an hour or less. This method allows the substance to quickly reach your bloodstream, ensuring rapid and effective treatment.

57 services18 patients

Infusion, normal saline solution, sterile (500 ml = 1 unit) J7040

An infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.

57 services14 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

37 services16 patients

Reticulated (young) platelet measurement 85055

Reticulated (young) platelet measurement is a blood test that helps determine the number of new platelets your body is producing. It's useful for diagnosing and monitoring conditions affecting platelet production, like anemia or chemotherapy effects.

35 services19 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

28 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services14 patients

Infusion into a vein for hydration, 31-60 minutes 96360

This is a procedure where a sterile solution is administered into your vein to help restore body fluid balance. It typically lasts between 31-60 minutes. It's a safe, common treatment for dehydration or to deliver medication.

26 services13 patients

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.

24 services20 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

20 services12 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

19 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450079

Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

ONCOLOGY PHARMACY SERVICES, INC

Pharmacy (Specialty Pharmacy)

2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061

Dallas County (972) 253-3751

KIRAN REDDY KANCHARLA MD

Internal Medicine (Hematology & Oncology)

2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061

Dallas County (972) 256-3537

EDWARD J CLIFFORD M.D.

Surgery (Surgical Oncology)

2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061

Dallas County (972) 256-3537

DR. NAROTHAM R THUDI MD

Internal Medicine (Hematology & Oncology)

2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061

Dallas County (972) 256-3537

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 Gilberto Jimenez-justiniano's NPI number?

The NPI number for Gilberto Jimenez-justiniano is 1619933504. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Gilberto Jimenez-justiniano located?

Gilberto Jimenez-justiniano practices at 2021 N Macarthur Blvd Ste 400, Irving, TX 75061. The listed phone number is (972) 256-3537.

What is Gilberto Jimenez-justiniano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gilberto Jimenez-justiniano enrolled in Medicare?

Yes. Gilberto Jimenez-justiniano 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.

Which organization bills Medicare for Gilberto Jimenez-justiniano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberto Jimenez-justiniano reassigns Medicare benefits to Texas Oncology PA (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gilberto Jimenez-justiniano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gilberto Jimenez-justiniano accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 11 other insurers list Gilberto Jimenez-justiniano 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.

Is Gilberto Jimenez-justiniano affiliated with any hospitals?

According to CMS data, Gilberto Jimenez-justiniano is affiliated with Baylor Scott & White Medical Center At Irving.

When was this NPI record last updated?

The NPPES record for Gilberto Jimenez-justiniano was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.