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BEHNAM DARVISHAN DMD
NPI 1013396845
Dentist - General Practice in Downers Grove, IL

Active since May 26, 2015Opted out of Medicare · through May 16, 2027
3450 LACEY RD, DOWNERS GROVE, IL 60515(630) 743-4500(630) 743-4940 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Behnam Darvishan Dmd NPPES

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

BEHNAM DARVISHAN DMD (NPI 1013396845) is an individual general practice provider in Downers Grove, Illinois, licensed in Illinois (019033024) and active in the NPI registry since May 2015. He has opted out of Medicare through May 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013396845
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBEHNAM DARVISHANCredential: DMD
Location Address3450 LACEY RDDowners Grove, IL 60515-5430
Mailing Address3450 Lacey RdDowners Grove, IL 60515-5430 · (630) 743-4500 · Fax (630) 743-4940
Phone(630) 743-4500
Fax(630) 743-4940
Sole ProprietorYes
Enumeration DateMay 26, 2015
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1013396845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019033024
Definition
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.
3450 LACEY RD, Downers Grove, IL 60515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Behnam Darvishan Dmd 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 May 16, 2019 through May 16, 2027.

Opt-Out Effective DateMay 16, 2019
Opt-Out In Effect ThroughMay 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARLAN VINCENT ACETO OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4807
RITA ANDREJA SINCLAIR PA-C
Physician Assistant
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-7500
DR. KIMBERLY A HUNTINGTON-ALFANO D.O.
Family Medicine
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MIDWESTERN UNIVERSITY
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MS. KIMBERLY S HOFFER M.A., CCC-SLP
Speech-Language Pathologist
3450 LACEY RD, ALUMNI HALL 206
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
JESSICA N CONROY OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
LAUREN MAXON FERGUSON CCC-SLP
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
RAUL ANTONIO PEREZ LOPEZ
Dentist (General Practice)
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500

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 Behnam Darvishan's NPI number?

The NPI number for Behnam Darvishan is 1013396845. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Behnam Darvishan located?

Behnam Darvishan practices at 3450 Lacey Rd, Downers Grove, IL 60515. The listed phone number is (630) 743-4500.

What is Behnam Darvishan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Behnam Darvishan enrolled in Medicare?

No. Behnam Darvishan has opted out of Medicare through May 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Behnam Darvishan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 5 other insurers list Behnam Darvishan 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 Behnam Darvishan was last updated on June 3, 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.