AREZO HESARAKI DDS
NPI 1174928857
Dentist - General Practice in Oak Grove, MO
About Arezo Hesaraki Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AREZO HESARAKI DDS (NPI 1174928857) is an individual general practice provider in Oak Grove, Missouri, licensed in Missouri (2014031462) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arezo Hesaraki Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Arezo Hesaraki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Independence, MO 64057
- Reassigned Medicare billing, Missouri and Kansas enrollments
- Also billed through NPI 1861587511 (Kansas)
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Arezo Hesaraki's NPI number?
The NPI number for Arezo Hesaraki is 1174928857. It was assigned to this individual provider in the NPPES registry on October 23, 2014.
Where is Arezo Hesaraki located?
Arezo Hesaraki practices at 2016 S Broadway, Oak Grove, MO 64075. The listed phone number is (816) 690-4141.
What is Arezo Hesaraki's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Arezo Hesaraki enrolled in Medicare?
Yes. Arezo Hesaraki is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Arezo Hesaraki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Arezo Hesaraki reassigns Medicare benefits to Swope Health Services (Independence, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arezo Hesaraki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Arezo Hesaraki 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 8 other insurers list Arezo Hesaraki 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 Arezo Hesaraki was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Arezo Hesaraki, DDS · NPI 1174928857
General Practice provider in Oak Grove, Missouri. Individual provider, active in the CMS NPPES registry since October 23, 2014.
## Identity
- **NPI:** 1174928857 (Entity type: Individual)
- **Enumerated:** October 23, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2014031462 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2016 S BROADWAY, Oak Grove, MO 64075-8439
- **Phone:** (816) 690-4141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Swope Health Services (NPI 1083914105, Independence, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174928857) · Data from the CMS NPPES public registry.