DR. ALMA DELIA GALLEGOS DMD
NPI 1376145433
Dentist - General Practice in Berwyn, IL
NPI Status: Active since November 13, 2020
- Individual
- Female
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About ALMA GALLEGOS
This page provides the complete NPI Profile along with additional information for Alma Gallegos, a provider established in Berwyn, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1376145433 assigned on November 2020. The practitioner's primary taxonomy code is 1223G0001X with license number 019.032640 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1376145433
- Provider Name
- DR. ALMA DELIA GALLEGOS DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6201 ROOSEVELT RD BERWYN, IL 60402
- Location Phone
- (708) 386-0845
- Mailing Address
- 2506 S 60TH CT CICERO, IL 60804
- Mailing Phone
- (708) 856-9580
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-13-2020
- Last Update Date
- 11-13-2020
- Code Navigator
A dentist like Alma Gallegos is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 019.032640
- License State
- IL
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Delta Dental Individual Basic Plan - EPO
- Delta Dental Individual Kids Basic Plan - EPO
- Delta Dental Individual Kids Preferred Plan - EPO
- Delta Dental Individual Preferred Plan - EPO
- Delta Dental Individual Preventive Plan - PPO
- Delta Dental Individual Primary Plan - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
- EssentialSmile Illinois - Total Care - EPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Alma Gallegos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60402 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 1 | 4 | 5 | 4 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 2 | 4 | 10 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 2 + 4 + 1 + 0 + 4 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1376145433 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306962121 | DANIELLE KRAESSIG CNM Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1336367036 | MS. ELLEN B BARTON ANP Individual | Nurse Practitioner (Adult Health) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1548671563 | PCC COMMUNITY WELLNESS CENTER Organization | Clinic/Center (Birthing) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1700275930 | EDITH ZAMUDIO Individual | Social Worker (Clinical) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1306247010 | MARY RIGONI Individual | Nurse Practitioner (Family) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1932141637 | CECELIA B BACOM CNM Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1346277274 | MARK AMDUR MD Individual | Psychiatry & Neurology (Psychiatry) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1720097538 | LORNA DAVIS CNM Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1154419661 | ELIZABETH ANNE DOWELL MD Individual | Family Medicine | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1437357563 | REBECCA CHRISTINE DEHOEK MD Individual | Family Medicine | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1376730366 | ANNETTE R PAYOT CNM Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1265733349 | TERA MARTIN CNM Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1386934008 | ERIKA MONTOYA M.D. Individual | Family Medicine | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1215283197 | KATHERINE E HEROLD APN Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1508282302 | LESLIE SANCHEZ C.N.M., APN Individual | Advanced Practice Midwife | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1003277500 | DAMARIS VELAZQUEZ LCSW Individual | Social Worker (Clinical) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1396389342 | PATRICIA BILLINGSLEY RN, APN Individual | Nurse Practitioner (Family) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1205843331 | MR. CHARLES THOMAS YINGLING NP Individual | Nurse Practitioner (Family) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1760144059 | MS. BIANCA CERVANTES LCPC Individual | Counselor (Professional) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
| 1174549786 | PCC COMMUNITY WELLNESS CENTER Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 6201 ROOSEVELT RD BERWYN, IL 60402 (708) 386-0845 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376145433, enumerated in the NPI registry as an "individual" on November 13, 2020
The provider is located at 6201 Roosevelt Rd Berwyn, Il 60402 and the phone number is (708) 386-0845
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $74.8 and an average copayment of 18.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 13, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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