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DR. AZZA AHMED BDS, MSC, PHD
NPI 1326672791
Dentist - Pediatric Dentistry in Chicago, IL

Active since February 25, 2020PECOS Enrolled
801 S PAULINA ST, CHICAGO, IL 60612(312) 996-8640 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Aug 3, 2022, Feb 25, 2020 (3 updates tracked since 2020).

About Dr. Azza Ahmed Bds, Msc, Phd NPPES

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

DR. AZZA AHMED BDS, MSC, PHD (NPI 1326672791) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (021.003488) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326672791
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. AZZA AHMEDCredential: BDS, MSC, PHD
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address801 S Paulina St # 269gChicago, IL 60612-7210 · (317) 440-4959
Phone(312) 996-8640
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1326672791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in IL · 021.003488✔ Licensed in MA · 0
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 019036485 (IL)
801 S PAULINA ST, Chicago, IL 60612
Open in Google Maps ↗

Other Identifiers 1

Medicaid0MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Azza Ahmed Bds, Msc, Phd 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 Azza Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Fo The University Of Illinois
Same address
Oral and Maxillofacial Surgery
811 S PAULINA ST # MC588
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: The Board Of Trustees Of The University Of Illinois
  • 2,127 clinicians in this Medicare group
NPI 1326483991 (312) 996-7546

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 60612 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 20

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

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Azza Ahmed's NPI number?

The NPI number for Azza Ahmed is 1326672791. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Azza Ahmed located?

Azza Ahmed practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 996-8640.

What is Azza Ahmed's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Azza Ahmed enrolled in Medicare?

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

Which organization bills Medicare for Azza Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azza Ahmed reassigns Medicare benefits to Board Of Trustees Fo The University Of Illinois (Chicago, 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 Azza Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Azza Ahmed was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.