DR. ANKUR JOHRI DDS, MD
NPI 1013115070
Oral & Maxillofacial Surgery in Allentown, PA
NPI Status: Active since July 10, 2007
Contact Information
1251 S CEDAR CREST BLVD
SUITE 311
ALLENTOWN, PA
ZIP 18103
Phone: (610) 821-9588
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About ANKUR JOHRI
This page provides the complete NPI Profile along with additional information for Ankur Johri, a provider established in Allentown, Pennsylvania with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1013115070 assigned on July 2007. The practitioner's primary taxonomy code is 204E00000X with license number DS-038193 (PA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1013115070
- Provider Name
- DR. ANKUR JOHRI DDS, MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1251 S CEDAR CREST BLVD SUITE 311 ALLENTOWN, PA 18103
- Location Phone
- (610) 821-9588
- Mailing Address
- 1251 S CEDAR CREST BLVD SUITE 311 ALLENTOWN, PA 18103
- Mailing Phone
- (610) 435-6161
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2007
- Last Update Date
- 01-26-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ankur Johri opted out of Medicare effective on 01-25-2023 until 01-25-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DS-038193
- License State
- PA
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - 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
Ankur Johri 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-25-2023
Opt-Out End Date: 01-25-2027
Eligible to Order and Refer? 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
New patient office or other outpatient visit, 15-29 minutes
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 12 times for 12 patientsReviews for DR. ANKUR JOHRI DDS, MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013115070, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 40 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
ALLENTOWN, PA 18103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013115070, enumerated as an "individual" on July 10, 2007.
The provider is located at 1251 S CEDAR CREST BLVD SUITE 311 ALLENTOWN, PA 18103 and the phone number is (610) 821-9588.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Florida Combined Life, Humana and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
