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MR. MAHAMID ALI KHAN DMD
NPI 1164424016
Dentist in Berwyn, IL

Active since August 11, 2005PECOS Enrolled
6447 CERMAK RD, BERWYN, IL 60402(773) 254-1400(312) 829-6375 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mahamid Ali Khan Dmd NPPES

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

MR. MAHAMID ALI KHAN DMD (NPI 1164424016) is an individual dentist in Berwyn, Illinois, licensed in Illinois (019024670) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164424016
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. MAHAMID ALI KHANCredential: DMD
Location Address6447 CERMAK RDBerwyn, IL 60402-2311
Mailing Address966 W 21st StChicago, IL 60608-4511 · (773) 254-1400 · Fax (312) 829-6375
Phone(773) 254-1400
Fax(312) 829-6375
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1164424016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019024670✔ Licensed in MO · 2005002250
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.
6447 CERMAK RD, Berwyn, IL 60402
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Other Identifiers 2

Medicaid407262500MO
Medicaid019024670IL

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

✔

Enrolled in Medicare (PECOS)

Mr. Mahamid Ali Khan Dmd 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 60402 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 16

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

JENNIFER VARGAS MD
Family Medicine
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400
FENG WEN PA-C
Physician Assistant
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400
MS. KARINA CISNEROS MA, LPC
Counselor (Professional)
6447 CERMAK RD
BERWYN, IL 60402
Cook County (177) 325-4140
LORENA BARRAGAN M.D.
Family Medicine
6447 CERMAK RD
BERWYN, IL 60402
Cook County (312) 829-6870
MONICA GUZMAN
Counselor (Professional)
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400
ALIVIO MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400
ARIANA SANDOVAL APRN
Nurse Practitioner (Family)
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400
SHACHI PATEL
Physician Assistant
6447 CERMAK RD
BERWYN, IL 60402
Cook County (773) 254-1400

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 Mahamid Khan's NPI number?

The NPI number for Mahamid Khan is 1164424016. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Mahamid Khan located?

Mahamid Khan practices at 6447 Cermak Rd, Berwyn, IL 60402. The listed phone number is (773) 254-1400.

What is Mahamid Khan's specialty?

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

Is Mahamid Khan enrolled in Medicare?

Yes. Mahamid Khan is registered in the Medicare PECOS enrollment system.

What insurance does Mahamid Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Mahamid Khan 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 Mahamid Khan was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.