DR. NICHOLAS CALLAHAN MPH DMD MD
NPI 1083920227
Oral & Maxillofacial Surgery in Chicago, IL

Q: What is Nicholas Callahan's NPI number?

The NPI number for Nicholas Callahan is 1083920227. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Q: What is Nicholas Callahan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Callahan was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 25, 2010PECOS EnrolledAccepts Medicare Assignment

87.08/100

CMS Quality Rating

801 S PAULINA ST, CHICAGO, IL 60612(312) 413-2379(312) 996-5987 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Aug 16, 2018 (2 updates tracked since 2018).

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About Dr. Nicholas Callahan Mph Dmd Md NPPES

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

DR. NICHOLAS CALLAHAN MPH DMD MD (NPI 1083920227) is an individual oral & maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (036147058) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1083920227

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. NICHOLAS CALLAHANCredential: MPH DMD MD

Location Address801 S PAULINA STChicago, IL 60612

Mailing Address801 S Paulina StChicago, IL 60612-7210 · (312) 413-2379 · Fax (312) 996-5987

Phone(312) 413-2379

Fax(312) 996-5987

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2013

Enumeration DateAugust 25, 2010

Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2024

✔ NPI 1083920227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Licenses✔ Licensed in IL · 036147058✔ Licensed in IL · 019031599✔ Licensed in IL · 021002880

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 019031599 (IL), 021102880 (IL), 036147058 (IL)

801 S PAULINA ST, Chicago, IL 60612

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Secondary Practice Location 1

Location 1451 Clarkson Ave, Dental ClinicBrooklyn, NY 11203-2054 · Phone (718) 245-4914

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. Nicholas Callahan Mph Dmd Md 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 ID7012202864

PECOS Enrollment IDI20181015002575

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

36 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services15 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

16 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

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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.

KENNETH GEHRKE DDS

Dentist (General Practice)

801 S PAULINA ST, MC 621
CHICAGO, IL 60612

Cook County (312) 355-1661

DR. NATHANIEL DANCYKIER D.D.S.

Dentist (General Practice)