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DR. MICHAEL JOSEPH KOWALCZYK D.D.S.
NPI 1316202377
Dentist in Hinsdale, IL

Active since July 05, 2012Opted out of Medicare · through Nov 19, 2027
911 N ELM ST STE 230, HINSDALE, IL 60521(630) 323-4468 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Joseph Kowalczyk D.d.s. NPPES

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

DR. MICHAEL JOSEPH KOWALCZYK D.D.S. (NPI 1316202377) is an individual dentist in Hinsdale, Illinois, licensed in Illinois (019.029356) and active in the NPI registry since July 2012. He has opted out of Medicare through November 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316202377
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL JOSEPH KOWALCZYKCredential: D.D.S.
Location Address911 N ELM ST STE 230Hinsdale, IL 60521-3684
Mailing Address911 N Elm St Ste 230Hinsdale, IL 60521-3684 · (630) 323-4468
Phone(630) 323-4468
Sole ProprietorNo
Enumeration DateJuly 5, 2012
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1316202377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019.029356✔ Licensed in FL · 1074
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.
911 N ELM ST STE 230, Hinsdale, IL 60521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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. Michael Joseph Kowalczyk D.d.s. 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 November 19, 2015 through November 19, 2027.

Opt-Out Effective DateNovember 19, 2015
Opt-Out In Effect ThroughNovember 19, 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 60521 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

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

DR. KATELYN MARIE WHITE DMD
Dentist
911 N ELM ST STE 230
HINSDALE, IL 60521
Dupage County (630) 323-4468

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 Michael Kowalczyk's NPI number?

The NPI number for Michael Kowalczyk is 1316202377. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Michael Kowalczyk located?

Michael Kowalczyk practices at 911 N Elm St Ste 230, Hinsdale, IL 60521. The listed phone number is (630) 323-4468.

What is Michael Kowalczyk's specialty?

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

Is Michael Kowalczyk enrolled in Medicare?

No. Michael Kowalczyk has opted out of Medicare through November 19, 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.

What insurance does Michael Kowalczyk accept?

Health plans from Humana list Michael Kowalczyk 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 Michael Kowalczyk was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.