MRS. MITRA MADANI D.D.S.
NPI 1174678718
Dentist - General Practice in Severna Park, MD

Q: What is Mitra Madani's NPI number?

The NPI number for Mitra Madani is 1174678718. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Mitra Madani's specialty?

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

Q: Is Mitra Madani enrolled in Medicare?

No. Mitra Madani has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mitra Madani was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 24, 2007Opted out of Medicare · through Jul 1, 2028

517 BENFIELD RD, SUITE 204, SEVERNA PARK, MD 21146(410) 647-7050(410) 647-7051 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Mrs. Mitra Madani D.d.s. NPPES

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

MRS. MITRA MADANI D.D.S. (NPI 1174678718) is an individual general practice provider in Severna Park, Maryland, licensed in Maryland (13564) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1174678718

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMRS. MITRA MADANICredential: D.D.S.

Location Address517 BENFIELD RD, SUITE 204Severna Park, MD 21146-2527

Mailing Address517 Benfield Rd, Suite 204Severna Park, MD 21146-2527 · (410) 647-7050 · Fax (410) 647-7051

Phone(410) 647-7050

Fax(410) 647-7051

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateMay 22, 2014

✔ NPI 1174678718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 13564

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.

517 BENFIELD RD, Severna Park, MD 21146

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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

Mrs. Mitra Madani D.d.s. 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 July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

SPERANZA WELLNESS SOLUTIONS, LLC

Community/Behavioral Health

517 BENFIELD RD
SEVERNA PARK, MD 21146

Anne Arundel County (301) 385-3040

MICHAEL H ALLEN DMD

Dentist (General Practice)

517 BENFIELD RD, SUITE 204
SEVERNA PARK, MD 21146

Anne Arundel County (410) 647-7050

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 Mitra Madani's NPI number?

The NPI number for Mitra Madani is 1174678718. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Mitra Madani located?

Mitra Madani practices at 517 Benfield Rd Suite 204, Severna Park, MD 21146. The listed phone number is (410) 647-7050.

What is Mitra Madani's specialty?

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

Is Mitra Madani enrolled in Medicare?

No. Mitra Madani has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mitra Madani 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 5 other insurers list Mitra Madani 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 Mitra Madani was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.