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DR. KEITH MELLOVITZ DDS
NPI 1205902194
Dentist in Highland Park, IL

Active since November 24, 2006Opted out of Medicare · through Jun 15, 2027
1893 SHERIDAN RD, SUITE 318, HIGHLAND PARK, IL 60035(847) 433-9350(847) 433-9355 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keith Mellovitz Dds NPPES

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

DR. KEITH MELLOVITZ DDS (NPI 1205902194) is an individual dentist in Highland Park, Illinois, licensed in Illinois (A17241) and active in the NPI registry since November 2006. He has opted out of Medicare through June 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205902194
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEITH MELLOVITZCredential: DDS
Location Address1893 SHERIDAN RD, SUITE 318Highland Park, IL 60035
Mailing Address1893 Sheridan Road, Suite 318Highland Park, IL 60035 · (847) 433-9350 · Fax (847) 433-9355
Phone(847) 433-9350
Fax(847) 433-9355
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 26, 2018
✔ NPI 1205902194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · A17241
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019.017241 (IL)
1893 SHERIDAN RD, Highland Park, IL 60035
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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. Keith Mellovitz Dds 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 June 15, 2015 through June 15, 2027.

Opt-Out Effective DateJune 15, 2015
Opt-Out In Effect ThroughJune 15, 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 60035 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 16

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

LAUREN K JACKER
Psychiatry & Neurology (Psychiatry)
1893 SHERIDAN RD, #303
HIGHLAND PARK, IL 60035
Lake County (847) 831-9304
MARK LLOYD GOLDSTEIN PHD
Psychologist (Forensic)
1893 SHERIDAN RD, SUITE 215
HIGHLAND PARK, IL 60035
Lake County (847) 926-0390
RICHARD F. EGAN D.D.S.
Dentist (Periodontics)
1893 SHERIDAN RD, SUITE 212
HIGHLAND PARK, IL 60035
Lake County (847) 432-5580
DR. STEVEN CRAIG SOMMERFELD D.D.S.
Dentist (General Practice)
1893 SHERIDAN RD, SUITE 309
HIGHLAND PARK, IL 60035
Lake County (847) 432-3448
DR. STEPHEN TERENCE HERCZEG PH.D.
Psychologist (Clinical)
1893 SHERIDAN RD, 302
HIGHLAND PARK, IL 60035
Lake County (847) 433-8881
RANDAL A. KNUDSON DDS PC
Dentist (General Practice)
1893 SHERIDAN RD, SUITE 315
HIGHLAND PARK, IL 60035
Lake County (847) 432-0860
LAUREN JACKER MD LLC
Psychiatry & Neurology (Psychiatry)
1893 SHERIDAN RD, SUITE 303
HIGHLAND PARK, IL 60035
Lake County (847) 831-9304
JAN BRENNER MA-CCC-SLP
Speech-Language Pathologist
1893 SHERIDAN RD, SUITE NUMBER 303
HIGHLAND PARK, IL 60035
Lake County (847) 433-1331

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 Keith Mellovitz's NPI number?

The NPI number for Keith Mellovitz is 1205902194. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Keith Mellovitz located?

Keith Mellovitz practices at 1893 Sheridan Rd Suite 318, Highland Park, IL 60035. The listed phone number is (847) 433-9350.

What is Keith Mellovitz's specialty?

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

Is Keith Mellovitz enrolled in Medicare?

No. Keith Mellovitz has opted out of Medicare through June 15, 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.

When was this NPI record last updated?

The NPPES record for Keith Mellovitz was last updated on March 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.