DR. SHABNAM RAVADGAR D.M.D.
NPI 1295114841
Dentist - General Practice in Herndon, VA

Q: What is Shabnam Ravadgar's NPI number?

The NPI number for Shabnam Ravadgar is 1295114841. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Shabnam Ravadgar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shabnam Ravadgar was last updated on April 12, 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.

Active since May 28, 2015PECOS Enrolled

494 ELDEN ST STE 220, HERNDON, VA 20170(703) 574-1716(703) 662-9904 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2022, Oct 4, 2019 (2 updates tracked since 2019).

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About Dr. Shabnam Ravadgar D.m.d. NPPES

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

DR. SHABNAM RAVADGAR D.M.D. (NPI 1295114841) is an individual general practice provider in Herndon, Virginia, licensed in Virginia (0401416835) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295114841

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHABNAM RAVADGARCredential: D.M.D.

Location Address494 ELDEN ST STE 220Herndon, VA 20170-4543

Mailing Address494 Elden St Ste 220Herndon, VA 20170-4543 · (703) 574-1716 · Fax (703) 662-9904

Phone(703) 574-1716

Fax(703) 662-9904

Sole ProprietorYes

Enumeration DateMay 28, 2015

Last NPPES UpdateApril 12, 20222 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1295114841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 0401416835

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.

Also ListedDentistTaxonomy 122300000X · License DN21136 (FL)

494 ELDEN ST STE 220, Herndon, VA 20170

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shabnam Ravadgar D.m.d. 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 20170 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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 Shabnam Ravadgar's NPI number?

The NPI number for Shabnam Ravadgar is 1295114841. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Shabnam Ravadgar located?

Shabnam Ravadgar practices at 494 Elden St Ste 220, Herndon, VA 20170. The listed phone number is (703) 574-1716.

What is Shabnam Ravadgar's specialty?

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

Is Shabnam Ravadgar enrolled in Medicare?

Yes. Shabnam Ravadgar is registered in the Medicare PECOS enrollment system.

What insurance does Shabnam Ravadgar 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 Shabnam Ravadgar 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 Shabnam Ravadgar was last updated on April 12, 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.