1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Dentist
  6. NPI Profile

KAVEH GHABOUSSI D.M.D.
NPI 1144343153
Dentist - General Practice in Madison, WI

Active since April 06, 2007PECOS Enrolled
5602 ODANA RD, MADISON, WI 53719(608) 227-7000(608) 271-9477 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaveh Ghaboussi D.m.d. NPPES

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

KAVEH GHABOUSSI D.M.D. (NPI 1144343153) is an individual general practice provider in Madison, Wisconsin, licensed in Wisconsin (5411-015) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144343153
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKAVEH GHABOUSSICredential: D.M.D.
Location Address5602 ODANA RDMadison, WI 53719-1208
Mailing Address5602 Odana RdMadison, WI 53719-1208 · (608) 227-7000 · Fax (608) 271-9477
Phone(608) 227-7000
Fax(608) 271-9477
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 16, 2016
✔ NPI 1144343153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5411-015
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.

5602 ODANA RD, Madison, WI 53719
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Kaveh Ghaboussi D.m.d. 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 53719 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Kaveh Ghaboussi's NPI number?

The NPI number for Kaveh Ghaboussi is 1144343153. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Kaveh Ghaboussi located?

Kaveh Ghaboussi practices at 5602 Odana Rd, Madison, WI 53719. The listed phone number is (608) 227-7000.

What is Kaveh Ghaboussi's specialty?

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

Is Kaveh Ghaboussi enrolled in Medicare?

Yes. Kaveh Ghaboussi is registered in the Medicare PECOS enrollment system.

What insurance does Kaveh Ghaboussi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana and 1 other insurer list Kaveh Ghaboussi 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 Kaveh Ghaboussi was last updated on August 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.