AYA ADEL FATTAH
NPI 1144116054
Dentist - Oral and Maxillofacial Surgery in Minneapolis, MN

Active since June 16, 2025PECOS Enrolled
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-2495 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aya Adel Fattah NPPES

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

AYA ADEL FATTAH (NPI 1144116054) is an individual oral and maxillofacial surgery provider in Minneapolis, Minnesota, licensed in Minnesota (D15322) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144116054
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameAYA ADEL FATTAH
Location Address515 DELAWARE ST SEMinneapolis, MN 55455-0357
Mailing Address5735 Westminster WayEast Lansing, MI 48823-7730 · (517) 944-2450
Sole ProprietorNo
Enumeration DateJune 16, 2025
NPPES CertifiedJune 8, 2025
NPI 1144116054 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 MN · D15322
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.
515 DELAWARE ST SE, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aya Adel Fattah 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 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (General Practice)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

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 Aya Fattah's NPI number?

The NPI number for Aya Fattah is 1144116054. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Aya Fattah located?

Aya Fattah practices at 515 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-2495.

What is Aya Fattah's specialty?

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

Is Aya Fattah enrolled in Medicare?

Yes. Aya Fattah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aya Fattah was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.