FELONA GUNAWAN M.D.
NPI 1679984280
Internal Medicine - Endocrinology, Diabetes & Metabolism in Dallas, TX

Active since May 16, 2014PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-4656 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Felona Gunawan M.d. NPPES

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

FELONA GUNAWAN M.D. (NPI 1679984280) is an individual endocrinology, diabetes & metabolism provider in Dallas, Texas, licensed in Texas (S4774) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of University Of Texas Medical School At San Antonio (2014).

NPPES Registry Identity

NPI1679984280
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameFELONA GUNAWANCredential: M.D.
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2014
Enumeration DateMay 16, 2014
Last NPPES UpdateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
NPI 1679984280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · S4774
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5200 HARRY HINES BLVD, Dallas, TX 75235

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

Felona Gunawan 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 ID4284954421
PECOS Enrollment IDI20200818001815
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 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.
51 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers19 claims36 services$6.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers62 claims62 services$184.11 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
4 suppliers13 claims13 services$202.92 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 20

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

Urology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Cardiovascular Disease)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Medical Oncology)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Surgery
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Family)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235

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 Felona Gunawan's NPI number?

The NPI number for Felona Gunawan is 1679984280. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Felona Gunawan located?

Felona Gunawan practices at 5200 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 590-4656.

What is Felona Gunawan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Felona Gunawan enrolled in Medicare?

Yes. Felona Gunawan 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 Felona Gunawan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Felona Gunawan 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 Felona Gunawan affiliated with any hospitals?

According to CMS data, Felona Gunawan is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Felona Gunawan was last updated on July 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.