DR. NICHOLAS PERETTI D.D.S.
NPI 1013301993
Dentist - Oral and Maxillofacial Surgery in Maywood, IL
About Dr. Nicholas Peretti D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS PERETTI D.D.S. (NPI 1013301993) is an individual oral and maxillofacial surgery provider in Maywood, Illinois, licensed in Montana (17106) and active in the NPI registry since March 2015. He has opted out of Medicare through April 14, 2027.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Nicholas Peretti D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 14, 2025 through April 14, 2027.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Nicholas Peretti's NPI number?
The NPI number for Nicholas Peretti is 1013301993. It was assigned to this individual provider in the NPPES registry on March 27, 2015.
Where is Nicholas Peretti located?
Nicholas Peretti practices at 2160 S 1st Ave Bldg. 105 Suite 1814, Maywood, IL 60153. The listed phone number is (888) 584-7888.
What is Nicholas Peretti's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Nicholas Peretti enrolled in Medicare?
No. Nicholas Peretti has opted out of Medicare through April 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Nicholas Peretti accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Nicholas Peretti 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 Nicholas Peretti was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Nicholas Peretti, D.D.S. · NPI 1013301993
Oral and Maxillofacial Surgery provider in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since March 27, 2015.
## Identity
- **NPI:** 1013301993 (Entity type: Individual)
- **Enumerated:** March 27, 2015
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 17106 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, BLDG. 105 SUITE 1814, Maywood, IL 60153-3328
- **Phone:** (888) 584-7888
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 14, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1013301993) · Data from the CMS NPPES public registry.