DR. SPYRIDON HASIAKOS DMD
NPI 1164950515
Dentist - General Practice in Indian Head Park, IL

Active since May 30, 2017Opted out of Medicare · through Jan 5, 2027
11204 SEQUOYA LN, INDIAN HEAD PARK, IL 60525(708) 642-3018 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 30, 2017 (2 updates tracked since 2017).

About Dr. Spyridon Hasiakos Dmd NPPES

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

DR. SPYRIDON HASIAKOS DMD (NPI 1164950515) is an individual general practice provider in Indian Head Park, Illinois, licensed in Illinois (019031095) and active in the NPI registry since May 2017. He has opted out of Medicare through January 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164950515
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SPYRIDON HASIAKOSCredential: DMD
Location Address11204 SEQUOYA LNIndian Head Park, IL 60525-3715
Mailing Address11204 Sequoya LnIndian Head Park, IL 60525-3715 · (708) 642-3018
Sole ProprietorYes
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1164950515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019031095
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.
11204 SEQUOYA LN, Indian Head Park, IL 60525

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. Spyridon Hasiakos Dmd 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 January 5, 2023 through January 5, 2027.

Opt-Out Effective DateJanuary 5, 2023
Opt-Out In Effect ThroughJanuary 5, 2027Opt-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 60525 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.

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 Spyridon Hasiakos's NPI number?

The NPI number for Spyridon Hasiakos is 1164950515. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Spyridon Hasiakos located?

Spyridon Hasiakos practices at 11204 Sequoya Ln, Indian Head Park, IL 60525. The listed phone number is (708) 642-3018.

What is Spyridon Hasiakos's specialty?

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

Is Spyridon Hasiakos enrolled in Medicare?

No. Spyridon Hasiakos has opted out of Medicare through January 5, 2027. 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 Spyridon Hasiakos 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 6 other insurers list Spyridon Hasiakos 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 Spyridon Hasiakos was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.