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DR. MELANIE NICOLE CRISTOBAL DMD
NPI 1699343244
Dentist in Philadelphia, PA

Active since June 10, 2021PECOS Enrolled
401-55 W ALLEGHENY AVENUE, PHILADELPHIA, PA 19133(215) 291-2500(215) 291-2587 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2022, Jun 10, 2021 (2 updates tracked since 2021).

About Dr. Melanie Nicole Cristobal Dmd NPPES

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

DR. MELANIE NICOLE CRISTOBAL DMD (NPI 1699343244) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043634) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699343244
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MELANIE NICOLE CRISTOBALCredential: DMD
Location Address401-55 W ALLEGHENY AVENUEPhiladelphia, PA 19133
Mailing Address1412-22 Fairmount AvenuePhiladelphia, PA 19130-2908 · (215) 684-5344 · Fax (215) 232-4093
Phone(215) 291-2500
Fax(215) 291-2587
Sole ProprietorYes
Enumeration DateJune 10, 2021
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1699343244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS043634
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
401-55 W ALLEGHENY AVENUE, Philadelphia, PA 19133
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Melanie Nicole Cristobal 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.

Medicare Billing Reassignment

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

Delaware Valley Community Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
400 W ALLEGHENY AVE BLDG 3
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1326711722 (215) 546-7501

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

VINCENT LAMONT LPC, NCC
Counselor (Mental Health)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
PAMELA A ALVA PORROA NP
Nurse Practitioner (Family)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
AMULYA IYER MD
Family Medicine
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
DR. LUCIA TOME MD
Family Medicine
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
MARIE OLIVA HENNELLY M.D.
Family Medicine
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
ARIANNA ACCAY DMD
Dentist (General Practice)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500

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 Melanie Cristobal's NPI number?

The NPI number for Melanie Cristobal is 1699343244. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Melanie Cristobal located?

Melanie Cristobal practices at 401-55 W Allegheny Avenue, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.

What is Melanie Cristobal's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Melanie Cristobal enrolled in Medicare?

Yes. Melanie Cristobal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Cristobal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Cristobal reassigns Medicare benefits to Delaware Valley Community Health, Inc. (Philadelphia, PA). 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 Melanie Cristobal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Cristobal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, BEST Life and Blue Cross and Blue Shield of Montana and 9 other insurers list Melanie Cristobal 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 Melanie Cristobal was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.