MARK ELKEDWANI DMD
NPI 1356025175
Dentist - General Practice in Bakersfield, CA

Active since June 12, 2023PECOS Enrolled
9510 HAGEMAN RD STE B, BAKERSFIELD, CA 93312(661) 829-2700 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2024, Jun 12, 2023 (2 updates tracked since 2023).

About Mark Elkedwani Dmd NPPES

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

MARK ELKEDWANI DMD (NPI 1356025175) is an individual general practice provider in Bakersfield, California, licensed in California (109012) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356025175
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK ELKEDWANICredential: DMD
Location Address9510 HAGEMAN RD STE BBakersfield, CA 93312-3953
Mailing Address4000 Scenic River Ln Apt 9nBakersfield, CA 93308-7518 · (714) 600-3590
Sole ProprietorNo
Enumeration DateJune 12, 2023
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1356025175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 109012
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.
9510 HAGEMAN RD STE B, Bakersfield, CA 93312

Accepted 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)

Mark Elkedwani Dmd 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 93312 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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 7

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

Dentist
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist (General Practice)
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist (General Practice)
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312
Dentist
9510 HAGEMAN RD STE B
BAKERSFIELD, CA 93312

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 Mark Elkedwani's NPI number?

The NPI number for Mark Elkedwani is 1356025175. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Mark Elkedwani located?

Mark Elkedwani practices at 9510 Hageman Rd Ste B, Bakersfield, CA 93312. The listed phone number is (661) 829-2700.

What is Mark Elkedwani's specialty?

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

Is Mark Elkedwani enrolled in Medicare?

Yes. Mark Elkedwani is registered in the Medicare PECOS enrollment system.

What insurance does Mark Elkedwani accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mark Elkedwani 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 Mark Elkedwani was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.