DR. ANGESOM BERHE DDS
NPI 1114376530
Dentist - General Practice in Chicago, IL

Active since June 07, 2016PECOS Enrolled
350 N CLARK ST, STE 600, C/O KOS SERVICES, CHICAGO, IL 60654(312) 274-4526 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Angesom Berhe Dds NPPES

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

DR. ANGESOM BERHE DDS (NPI 1114376530) is an individual general practice provider in Chicago, Illinois, licensed in Michigan (2901022018) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114376530
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANGESOM BERHECredential: DDS
Location Address350 N CLARK ST, STE 600, C/O KOS SERVICESChicago, IL 60654
Mailing Address350 N Clark St, Ste 600, C/o Kos ServicesChicago, IL 60654
Sole ProprietorNo
Enumeration DateJune 7, 2016
Last NPPES UpdateJuly 5, 2016
NPI 1114376530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901022018
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.
350 N CLARK ST, STE 600, Chicago, IL 60654

Accepted Insurance

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. Angesom Berhe 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 60654 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Angesom Berhe's NPI number?

The NPI number for Angesom Berhe is 1114376530. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Angesom Berhe located?

Angesom Berhe practices at 350 N Clark St, Ste 600 C/O Kos Services, Chicago, IL 60654. The listed phone number is (312) 274-4526.

What is Angesom Berhe's specialty?

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

Is Angesom Berhe enrolled in Medicare?

Yes. Angesom Berhe is registered in the Medicare PECOS enrollment system.

What insurance does Angesom Berhe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Angesom Berhe 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 Angesom Berhe was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.