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DR. EDISON A ISHAYA DDS
NPI 1124156773
Dentist - General Practice in Chicago, IL

Active since March 02, 2007PECOS Enrolled
3855 W NORTH AVE, CHICAGO, IL 60647(773) 782-8900(773) 782-0577 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edison A Ishaya Dds NPPES

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

DR. EDISON A ISHAYA DDS (NPI 1124156773) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124156773
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDISON A ISHAYACredential: DDS
Location Address3855 W NORTH AVEChicago, IL 60647-4640
Mailing Address3855 W North AveChicago, IL 60647-4640 · (773) 782-8900 · Fax (773) 782-0577
Phone(773) 782-8900
Fax(773) 782-0577
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1124156773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3855 W NORTH AVE, Chicago, IL 60647
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Other Identifiers 2

Medicaid1002613IL
Medicaid103068IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Edison A Ishaya 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 60647 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL ERNEST VIDA DDS
Dentist
3855 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 782-8900
DR. SHARON JENNIFER SORENSEN DDS
Dentist
3855 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 782-8900
ELIANORA A LUTIN
Dentist
3855 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 782-8900
FAMILY DENTAL GROUP, INC.
Dentist (General Practice)
3855 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 782-8900

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 Edison Ishaya's NPI number?

The NPI number for Edison Ishaya is 1124156773. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Edison Ishaya located?

Edison Ishaya practices at 3855 W North Ave, Chicago, IL 60647. The listed phone number is (773) 782-8900.

What is Edison Ishaya's specialty?

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

Is Edison Ishaya enrolled in Medicare?

Yes. Edison Ishaya is registered in the Medicare PECOS enrollment system.

What insurance does Edison Ishaya accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 8 other insurers list Edison Ishaya 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 Edison Ishaya was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.