DR. MOAWIA KASSAB DDS, MS
NPI 1164436150
Dentist - Periodontics in Milwaukee, WI

Active since July 28, 2006Opted out of Medicare · through Mar 30, 2028
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES, MILWAUKEE, WI 53233(414) 288-0771(414) 288-8392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Moawia Kassab Dds, Ms NPPES

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

DR. MOAWIA KASSAB DDS, MS (NPI 1164436150) is an individual periodontics provider in Milwaukee, Wisconsin, licensed in Wisconsin (11-875) and active in the NPI registry since July 2006. He has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164436150
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MOAWIA KASSABCredential: DDS, MS
Location Address1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCESMilwaukee, WI 53233-2186
Mailing Address1801 W Wisconsin Ave, Marquette University, Dental School, Surgical SciencesMilwaukee, WI 53233-2186 · (414) 288-0771 · Fax (414) 288-8392
Fax(414) 288-8392
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164436150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in WI · 11-875
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1801 W WISCONSIN AVE, Milwaukee, WI 53233

Accepted 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

Dr. Moawia Kassab Dds, Ms 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 March 30, 2016 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2016
Opt-Out In Effect ThroughMarch 30, 2028Opt-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 53233 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.

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 (General Practice)
1801 W WISCONSIN AVE, SUITE 145 B
MILWAUKEE, WI 53233
Dentist
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY. RM 325
MILWAUKEE, WI 53233
Dentist (General Practice)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Dentist (Prosthodontics)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Dentist
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233

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 Moawia Kassab's NPI number?

The NPI number for Moawia Kassab is 1164436150. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Moawia Kassab located?

Moawia Kassab practices at 1801 W Wisconsin Ave Marquette University, Dental School, Surgical Sciences, Milwaukee, WI 53233. The listed phone number is (414) 288-0771.

What is Moawia Kassab's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Moawia Kassab enrolled in Medicare?

No. Moawia Kassab has opted out of Medicare through March 30, 2028. 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 Moawia Kassab accept?

Health plans from Delta Dental of Wisconsin, Inc. list Moawia Kassab 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 Moawia Kassab was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.