DR. CRISTIAN JAVIER DAVALOS CRISTELLOT MD
NPI 1780319566
Pediatrics in Bridgeport, CT
About Dr. Cristian Javier Davalos Cristellot Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CRISTIAN JAVIER DAVALOS CRISTELLOT MD (NPI 1780319566) is an individual pediatrics provider in Bridgeport, Connecticut, licensed in Connecticut (82483) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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. Cristian Javier Davalos Cristellot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Cristian Davalos Cristellot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, CT 06608
- Reassigned Medicare billing, Connecticut enrollment
- 132 clinicians in this Medicare group
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 06608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRIDGEPORT, CT 06608
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 Cristian Davalos Cristellot's NPI number?
The NPI number for Cristian Davalos Cristellot is 1780319566. It was assigned to this individual provider in the NPPES registry on July 18, 2022.
Where is Cristian Davalos Cristellot located?
Cristian Davalos Cristellot practices at 982 E Main St, Bridgeport, CT 06608. The listed phone number is (646) 431-6217.
What is Cristian Davalos Cristellot's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Cristian Davalos Cristellot enrolled in Medicare?
Yes. Cristian Davalos Cristellot is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Cristian Davalos Cristellot's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristian Davalos Cristellot reassigns Medicare benefits to Optimus Health Care Inc (Bridgeport, CT). 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 Cristian Davalos Cristellot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cristian Davalos Cristellot accept?
Health plans from Anthem Blue Cross and Blue Shield list Cristian Davalos Cristellot 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 Cristian Davalos Cristellot was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Cristian Javier Davalos Cristellot, MD · NPI 1780319566
Pediatrics physician in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since July 18, 2022.
## Identity
- **NPI:** 1780319566 (Entity type: Individual)
- **Enumerated:** July 18, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 82483 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 982 E MAIN ST, Bridgeport, CT 06608-1913
- **Phone:** (646) 431-6217
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optimus Health Care Inc (NPI 1659641363, Bridgeport, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780319566) · Data from the CMS NPPES public registry.