1. Home
  2. Directory
  3. New York
  4. Elmhurst
  5. Dentist
  6. NPI Profile

DR. ISMAEL BASTIDA DDS
NPI 1073526505
Dentist - General Practice in Elmhurst, NY

Active since August 14, 2006PECOS Enrolled
4014 82ND ST, ELMHURST, NY 11373(718) 397-7777 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ismael Bastida Dds NPPES

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

DR. ISMAEL BASTIDA DDS (NPI 1073526505) is an individual general practice provider in Elmhurst, New York, licensed in New York (052687) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073526505
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ISMAEL BASTIDACredential: DDS
Location Address4014 82ND STElmhurst, NY 11373-1305
Mailing Address4014 82nd StElmhurst, NY 11373-1305 · (718) 397-7777
Phone(718) 397-7777
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateApril 14, 2015
✔ NPI 1073526505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 052687
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.
4014 82ND ST, Elmhurst, NY 11373
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ismael Bastida Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 2

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

DR. JASON ALEXANDER BASTIDA DDS
Dentist (General Practice)
4014 82ND ST
ELMHURST, NY 11373
Queens County (718) 397-7777
NEW YORK DENTAL SERVICES PLLC
Dentist
4014 82ND ST
ELMHURST, NY 11373
Queens County (718) 397-7777

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 Ismael Bastida's NPI number?

The NPI number for Ismael Bastida is 1073526505. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Ismael Bastida located?

Ismael Bastida practices at 4014 82nd St, Elmhurst, NY 11373. The listed phone number is (718) 397-7777.

What is Ismael Bastida's specialty?

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

Is Ismael Bastida enrolled in Medicare?

Yes. Ismael Bastida is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ismael Bastida was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.