DOMINIK BERDYSZ D.D.S
NPI 1073927414
Dentist in Youngstown, OH

Q: What is Dominik Berdysz's NPI number?

The NPI number for Dominik Berdysz is 1073927414. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Dominik Berdysz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dominik Berdysz was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 13, 2014PECOS Enrolled

500 GYPSY LN, YOUNGSTOWN, OH 44504(330) 506-0987 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dominik Berdysz D.d.s NPPES

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

DOMINIK BERDYSZ D.D.S (NPI 1073927414) is an individual dentist in Youngstown, Ohio, licensed in Ohio (30-024174) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073927414

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDOMINIK BERDYSZCredential: D.D.S

Location Address500 GYPSY LNYoungstown, OH 44504-1315

Mailing Address900 Omalley Dr, Apt.203Parma, OH 44134-7519 · (614) 515-8203

Phone(330) 506-0987

Sole ProprietorNo

Enumeration DateJune 13, 2014

✔ NPI 1073927414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30-024174

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

500 GYPSY LN, Youngstown, OH 44504

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominik Berdysz D.d.s 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.

Medicare Billing Reassignment

Medicare enrollment records show Dominik Berdysz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lorain County Health & Dentistry

73 mi

Clinic/Center

35557 CENTER RIDGE RD
North Ridgeville, OH 44039

Reassigned Medicare billing, Ohio enrollment
88 clinicians in this Medicare group

NPI 1629806906 (440) 240-1655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

FORUM HEALTH ENTERPRISES CO

Nurse Practitioner

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-4570

YOUNGSTOWN OHIO PHYSICIAN SERVICES COMPANY LLC

Internal Medicine

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-0120

MICHAEL G SAALOUKE MD

Pediatrics (Pediatric Cardiology)

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-3991

DR. AMANPREET DHALIWAL M.D.

Student in an Organized Health Care Education/Training Program

500 GYPSY LN, FAMILY MEDICINE DEPARTMENT
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-3235

VALLEY CARE

General Acute Care Hospital (Critical Access)

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-3472

MS. DONNA ELAINE WARD CRNA

Nurse Anesthetist, Certified Registered

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-3679

MORRIS W. PULLIAM, M.D., LLC

Neurological Surgery

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 773-3544

DR. RAHIM ABDUL B.D.S

Dentist (General Practice)

500 GYPSY LN
YOUNGSTOWN, OH 44504

Mahoning County (330) 884-3058

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 Dominik Berdysz's NPI number?

The NPI number for Dominik Berdysz is 1073927414. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Dominik Berdysz located?

Dominik Berdysz practices at 500 Gypsy Ln, Youngstown, OH 44504. The listed phone number is (330) 506-0987.

What is Dominik Berdysz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dominik Berdysz enrolled in Medicare?

Yes. Dominik Berdysz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominik Berdysz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominik Berdysz reassigns Medicare benefits to Lorain County Health & Dentistry (North Ridgeville, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominik Berdysz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominik Berdysz accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Ohio and 11 other insurers list Dominik Berdysz 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 Dominik Berdysz was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.