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CYRUS FAROOKH MISTRY M.D., D.D.S.
NPI 1134486491
Dentist - Oral and Maxillofacial Surgery in Rockville, MD

Active since April 11, 2012Opted out of Medicare · through Nov 28, 2026
6191 EXECUTIVE BLVD, ROCKVILLE, MD 20852(301) 610-3918(301) 610-3781 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2022, Jan 16, 2019 (2 updates tracked since 2019).

About Cyrus Farookh Mistry M.d., D.d.s. NPPES

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

CYRUS FAROOKH MISTRY M.D., D.D.S. (NPI 1134486491) is an individual oral and maxillofacial surgery provider in Rockville, Maryland, licensed in Maryland (16286) and active in the NPI registry since April 2012. He has opted out of Medicare through November 28, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134486491
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameCYRUS FAROOKH MISTRYCredential: M.D., D.D.S.
Location Address6191 EXECUTIVE BLVDRockville, MD 20852-3901
Mailing Address6191 Executive BlvdRockville, MD 20852-3901 · (301) 610-3918 · Fax (301) 610-3781
Phone(301) 610-3918
Fax(301) 610-3781
Sole ProprietorYes
Enumeration DateApril 11, 2012
Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1134486491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 16286
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6191 EXECUTIVE BLVD, Rockville, MD 20852
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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

Cyrus Farookh Mistry M.d., D.d.s. 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 28, 2018 through November 28, 2026.

Opt-Out Effective DateNovember 28, 2018
Opt-Out In Effect ThroughNovember 28, 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 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 5

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

DUPONT ASSOCIATES, P.A.
Psychiatry & Neurology (Psychiatry)
6191 EXECUTIVE BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 231-9010
ROBERT L DUPONT M.D.
Psychiatry & Neurology (Psychiatry)
6191 EXECUTIVE BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 231-9010
DR. LISA KIM CHUN M.D.
Psychiatry & Neurology (Psychiatry)
6191 EXECUTIVE BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 231-9010
MODERN ORAL & FACIAL SURGERY
Oral & Maxillofacial Surgery
6191 EXECUTIVE BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 610-3918
MRS. ELIZABETH DUPONT SPENCER M.S.W.
Social Worker (Clinical)
6191 EXECUTIVE BLVD
ROCKVILLE, MD 20852
Montgomery County (301) 231-9010

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 Cyrus Mistry's NPI number?

The NPI number for Cyrus Mistry is 1134486491. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Cyrus Mistry located?

Cyrus Mistry practices at 6191 Executive Blvd, Rockville, MD 20852. The listed phone number is (301) 610-3918.

What is Cyrus Mistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Cyrus Mistry enrolled in Medicare?

No. Cyrus Mistry has opted out of Medicare through November 28, 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 Cyrus Mistry accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Cyrus Mistry 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 Cyrus Mistry was last updated on February 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.