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DR. AZADEH MOTEKALLEM DDS, MSD
NPI 1114123692
Dentist - Pediatric Dentistry in Bellaire, TX

Active since June 22, 2007PECOS Enrolled
549 LUPIN ST, BELLAIRE, TX 77401(937) 554-0639 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Azadeh Motekallem Dds, Msd NPPES

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

DR. AZADEH MOTEKALLEM DDS, MSD (NPI 1114123692) is an individual pediatric dentistry provider in Bellaire, Texas, licensed in Texas (24170) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114123692
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AZADEH MOTEKALLEMCredential: DDS, MSD
Location Address549 LUPIN STBellaire, TX 77401-5023
Mailing Address549 Lupin StreetBellaire, TX 77401 · (937) 554-0639
Phone(937) 554-0639
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 22, 2007
Last NPPES UpdateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1114123692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 24170
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 2629 (OH)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 24170 (TX)
549 LUPIN ST, Bellaire, TX 77401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Azadeh Motekallem Dds, Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981173911
PECOS Enrollment IDI20260519002118
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 Azadeh Motekallem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group
3.8 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

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 77401 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Azadeh Motekallem's NPI number?

The NPI number for Azadeh Motekallem is 1114123692. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Azadeh Motekallem located?

Azadeh Motekallem practices at 549 Lupin St, Bellaire, TX 77401. The listed phone number is (937) 554-0639.

What is Azadeh Motekallem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Azadeh Motekallem enrolled in Medicare?

Yes. Azadeh Motekallem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Azadeh Motekallem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azadeh Motekallem reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Azadeh Motekallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Azadeh Motekallem accept?

Health plans from Moda Health Plan, Inc. list Azadeh Motekallem 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 Azadeh Motekallem was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.