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DR. KEHINDE JOHN FASANYA DDS
NPI 1184939076
Dentist in Rockford, IL

Active since August 16, 2010PECOS Enrolled
6215 E STATE ST, ROCKFORD, IL 61108(920) 838-1649 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kehinde John Fasanya Dds NPPES

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

DR. KEHINDE JOHN FASANYA DDS (NPI 1184939076) is an individual dentist in Rockford, Illinois, licensed in Illinois (019.028443) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184939076
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEHINDE JOHN FASANYACredential: DDS
Location Address6215 E STATE STRockford, IL 61108-2514
Mailing Address430 W Erie St Ste 200Chicago, IL 60654-6920 · (920) 838-1649 · Fax (312) 944-9499
Phone(920) 838-1649
Sole ProprietorNo
Enumeration DateAugust 16, 2010
Last NPPES UpdateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1184939076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.028443
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.
6215 E STATE ST, Rockford, IL 61108
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kehinde John Fasanya Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Kehinde Fasanya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
53 mi
Primary Care
3250 N ARLINGTON HEIGHTS RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1518087428 (847) 934-7969

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 61108 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 17

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

ASHLEY TSIAO D.M.D
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
AQIL VALIKA
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
DR. KENNETH ERIC ANTONOFF D.D.S
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (414) 340-1844
DR. DONG HYUN YOO
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
DR. ZHICHUN YU DMD
Dentist
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (415) 279-7923
DR. DHIVYALAKSHMI MANAVAZHAGAN DDS
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7080
YU-JIN LEE D.M.D.
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777
DENTAL EXPERTS, LLC
Dentist (General Practice)
6215 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 399-7777

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 Kehinde Fasanya's NPI number?

The NPI number for Kehinde Fasanya is 1184939076. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Kehinde Fasanya located?

Kehinde Fasanya practices at 6215 E State St, Rockford, IL 61108. The listed phone number is (920) 838-1649.

What is Kehinde Fasanya's specialty?

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

Is Kehinde Fasanya enrolled in Medicare?

Yes. Kehinde Fasanya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kehinde Fasanya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kehinde Fasanya reassigns Medicare benefits to Cook County (Arlington Heights, IL). 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 Kehinde Fasanya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kehinde Fasanya 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 Kehinde Fasanya 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 Kehinde Fasanya was last updated on April 23, 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.