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DR. MITAL SPATZ DDS
NPI 1134449747
Dentist - Pediatric Dentistry in Chicago, IL

Active since June 04, 2010Opted out of Medicare · through Nov 13, 2026
2929 N SOUTHPORT AVE, CHICAGO, IL 60657(773) 328-8282(773) 328-8204 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mital Spatz Dds NPPES

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

DR. MITAL SPATZ DDS (NPI 1134449747) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (021002694) and active in the NPI registry since June 2010. She has opted out of Medicare through November 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134449747
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MITAL SPATZCredential: DDS
Location Address2929 N SOUTHPORT AVEChicago, IL 60657-6945
Mailing Address2929 N. Southport Ave, Tooth Buds Pediatric DentistryChicago, IL 60657 · (773) 328-8282 · Fax (773) 328-8402
Phone(773) 328-8282
Fax(773) 328-8204
Sole ProprietorNo
Enumeration DateJune 4, 2010
Last NPPES UpdateMay 3, 2018
✔ NPI 1134449747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021002694
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 019028295 (IL)
2929 N SOUTHPORT AVE, Chicago, IL 60657
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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

ⓘ

Opted out of Medicare

Dr. Mital Spatz 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 November 13, 2018 through November 13, 2026.

Opt-Out Effective DateNovember 13, 2018
Opt-Out In Effect ThroughNovember 13, 2026Opt-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 60657 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 6

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

MS. BLAIRE BROERS BROWN DPT
Physical Therapist (Orthopedic)
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (773) 665-9947
DR. JOSEPH RAYMOND ASCHER PT, DPT
Physical Therapist
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (773) 665-9950
STEPHANIE ELIZABETH PENNY DPT
Physical Therapist
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (773) 665-9950
BOUNDLESS HEALTH, LLC
Physical Therapist (Orthopedic)
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (312) 566-8460
MS. ANGELA WILSON PENNISI PT
Physical Therapist
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (773) 665-9950
DR. DHWANI PATEL DDS
Dentist (Pediatric Dentistry)
2929 N SOUTHPORT AVE
CHICAGO, IL 60657
Cook County (773) 328-8282

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 Mital Spatz's NPI number?

The NPI number for Mital Spatz is 1134449747. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Mital Spatz located?

Mital Spatz practices at 2929 N Southport Ave, Chicago, IL 60657. The listed phone number is (773) 328-8282.

What is Mital Spatz's specialty?

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

Is Mital Spatz enrolled in Medicare?

No. Mital Spatz has opted out of Medicare through November 13, 2026. 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 Mital Spatz 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 6 other insurers list Mital Spatz 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 Mital Spatz was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.