DR. ARDAVAN R. KHERADPIR D.M.D.
NPI 1053417261
Dentist - Oral and Maxillofacial Surgery in Fresno, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
1903 E FIR AVE STE 101, FRESNO, CA 93720(559) 226-2722(559) 226-6989 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ardavan R. Kheradpir D.m.d. NPPES

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

DR. ARDAVAN R. KHERADPIR D.M.D. (NPI 1053417261) is an individual oral and maxillofacial surgery provider in Fresno, California, licensed in California (52875) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1053417261
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ARDAVAN R. KHERADPIRCredential: D.M.D.
Location Address1903 E FIR AVE STE 101Fresno, CA 93720-3862
Mailing Address1903 E Fir Ave Ste 101Fresno, CA 93720-3862 · (559) 226-2722 · Fax (559) 226-6989
Fax(559) 226-6989
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
NPI 1053417261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 52875
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1903 E FIR AVE STE 101, Fresno, CA 93720

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ardavan R. Kheradpir D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274618681
PECOS Enrollment IDI20080310000508
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 5

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

Dentist (Oral and Maxillofacial Surgery)
1903 E FIR AVE STE 101
FRESNO, CA 93720
Dentist (Oral and Maxillofacial Surgery)
1903 E FIR AVE STE 101
FRESNO, CA 93720
Dentist (Oral and Maxillofacial Surgery)
1903 E FIR AVE STE 101
FRESNO, CA 93720
Dentist (Oral and Maxillofacial Surgery)
1903 E FIR AVE STE 101
FRESNO, CA 93720
Dentist (Oral and Maxillofacial Surgery)
1903 E FIR AVE STE 101
FRESNO, CA 93720

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 Ardavan Kheradpir's NPI number?

The NPI number for Ardavan Kheradpir is 1053417261. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Ardavan Kheradpir located?

Ardavan Kheradpir practices at 1903 E Fir Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 226-2722.

What is Ardavan Kheradpir's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ardavan Kheradpir enrolled in Medicare?

Yes. Ardavan Kheradpir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ardavan Kheradpir accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ardavan Kheradpir 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 Ardavan Kheradpir was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.