Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BABAK NAHAVANDI DDS
NPI 1104879543
Dentist in Queens Village, NY

Q: What is Babak Nahavandi's NPI number?

The NPI number for Babak Nahavandi is 1104879543. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Babak Nahavandi's specialty?

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

Q: Is Babak Nahavandi enrolled in Medicare?

No. Babak Nahavandi has opted out of Medicare through January 4, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Babak Nahavandi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 May 18, 2006Opted out of Medicare · through Jan 4, 2028

22117 JAMAICA AVE, QUEENS VILLAGE, NY 11428(718) 454-4000(712) 479-9171 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Babak Nahavandi Dds NPPES

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

BABAK NAHAVANDI DDS (NPI 1104879543) is an individual dentist in Queens Village, New York, licensed in New York (046122) and active in the NPI registry since May 2006. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104879543

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBABAK NAHAVANDICredential: DDS

Location Address22117 JAMAICA AVEQueens Village, NY 11428

Mailing Address22117 Jamaica AveQueens Village, NY 11428 · (718) 454-4000 · Fax (712) 479-9171

Phone(718) 454-4000

Fax(712) 479-9171

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104879543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 046122

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.

22117 JAMAICA AVE, Queens Village, NY 11428

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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

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Opted out of Medicare

Babak Nahavandi Dds 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 January 4, 2016 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2016

Opt-Out In Effect ThroughJanuary 4, 2028Opt-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 11428 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.

REBECCA JEAN-BAPTISTE

Licensed Practical Nurse

22117 JAMAICA AVE, 2F
QUEENS VILLAGE, NY 11428

Queens County (347) 829-0744

G.L DENTAL PRACTICE

Dentist (General Practice)

22117 JAMAICA AVE
QUEENS VILLAGE, NY 11428

Queens County (718) 454-4000

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 Babak Nahavandi's NPI number?

The NPI number for Babak Nahavandi is 1104879543. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Babak Nahavandi located?

Babak Nahavandi practices at 22117 Jamaica Ave, Queens Village, NY 11428. The listed phone number is (718) 454-4000.

What is Babak Nahavandi's specialty?

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

Is Babak Nahavandi enrolled in Medicare?

No. Babak Nahavandi has opted out of Medicare through January 4, 2028. 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 Babak Nahavandi 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 UnitedHealthcare list Babak Nahavandi 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 Babak Nahavandi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.