1. Home
  2. Directory
  3. Illinois
  4. Oak Lawn
  5. Dentist
  6. NPI Profile

AHMED MATARIA D.D.S. PC
NPI 1255567483
Dentist in Oak Lawn, IL

Active since June 02, 2009PECOS Enrolled
4934 W 95TH ST, OAK LAWN, IL 60453(773) 429-1400(773) 429-1410 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Apr 22, 2020, Mar 23, 2016 (3 updates tracked since 2016).

About Ahmed Mataria D.d.s. Pc NPPES

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

AHMED MATARIA D.D.S. PC (NPI 1255567483) is an individual dentist in Oak Lawn, Illinois, licensed in Illinois (019027955) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1255567483
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameAHMED MATARIACredential: D.D.S. PC
Location Address4934 W 95TH STOak Lawn, IL 60453-2504
Mailing Address4934 W 95th StOak Lawn, IL 60453-2504 · (773) 429-1400 · Fax (773) 429-1410
Phone(773) 429-1400
Fax(773) 429-1410
Sole ProprietorYes
Enumeration DateJune 2, 2009
Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 8, 2022
✔ NPI 1255567483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019027955✔ Licensed in CA · DDS100937
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.
4934 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Location 1

Location 13610 Lomita Blvd Ste 202Torrance, CA 90505-3919 · Phone (323) 704-7836

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Mataria D.d.s. Pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

Other Providers at the Same Location NPPES 3

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

DR. JEFERSON ALMEIDA SANTOS DDS
Dentist
4934 W 95TH ST
OAK LAWN, IL 60453
Cook County (773) 429-1400
DR. SIMMI KAPUR DDS
Dentist
4934 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 425-1811
ECO FRIENDLY DENTISTRY PC
Dentist (General Practice)
4934 W 95TH ST
OAK LAWN, IL 60453
Cook County (773) 429-1400

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 Ahmed Mataria's NPI number?

The NPI number for Ahmed Mataria is 1255567483. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Ahmed Mataria located?

Ahmed Mataria practices at 4934 W 95th St, Oak Lawn, IL 60453. The listed phone number is (773) 429-1400.

What is Ahmed Mataria's specialty?

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

Is Ahmed Mataria enrolled in Medicare?

Yes. Ahmed Mataria is registered in the Medicare PECOS enrollment system.

What insurance does Ahmed Mataria accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Ahmed Mataria 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 Ahmed Mataria was last updated on March 8, 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.