1. Home
  2. Directory
  3. Washington
  4. Connell
  5. Dentist
  6. NPI Profile

AHMED BASHIR RADDAD
NPI 1134747603
Dentist in Connell, WA

Active since July 10, 2020PECOS Enrolled
1051 COLUMBIA AVE, CONNELL, WA 99326(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2024, Sep 19, 2024, Jul 10, 2020 (3 updates tracked since 2020).

About Ahmed Bashir Raddad NPPES

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

AHMED BASHIR RADDAD (NPI 1134747603) is an individual dentist in Connell, Washington, licensed in Washington (DE61188502) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1134747603
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAHMED BASHIR RADDAD
Location Address1051 COLUMBIA AVEConnell, WA 99326-8702
Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256
Phone(509) 488-5256
Fax(509) 488-9939
Sole ProprietorNo
Enumeration DateJuly 10, 2020
Last NPPES UpdateOctober 2, 20243 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1134747603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61188502
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1051 COLUMBIA AVE, Connell, WA 99326
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 E Newton St # 707ABoston, MA 02118-3552 · Phone (617) 358-8360

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Bashir Raddad 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.

Medicare Billing Reassignment

Medicare enrollment records show Ahmed Raddad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Columbia Basin Health Association
Same address
Pharmacist
1051 COLUMBIA AVENUE
Connell, WA 99326
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1629311436 (509) 234-0866

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 99326 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

TAMARA J CAMPBELL ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256
RACHAEL M BLEAZARD RDH
Dental Hygienist
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256
DR. JONATHAN JAY WALKER O.D.
Optometrist
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256
MRS. JAENIFFER ANG KAISER ARNP
Nurse Practitioner (Family)
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256
DR. BRANDON R WALTERS O.D.
Optometrist
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256
DR. DARYL DUANE BALLARD D.D.S.
Dentist
1051 COLUMBIA AVE
CONNELL, WA 99326
Franklin County (509) 488-5256

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 Ahmed Raddad's NPI number?

The NPI number for Ahmed Raddad is 1134747603. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Ahmed Raddad located?

Ahmed Raddad practices at 1051 Columbia Ave, Connell, WA 99326. The listed phone number is (509) 488-5256.

What is Ahmed Raddad's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ahmed Raddad enrolled in Medicare?

Yes. Ahmed Raddad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ahmed Raddad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Raddad reassigns Medicare benefits to Columbia Basin Health Association (Connell, WA). 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 Ahmed Raddad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmed Raddad 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 7 other insurers list Ahmed Raddad 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 Ahmed Raddad was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.