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MIKHAIL YUREVICH KOBAKOV DMD
NPI 1356784375
Dentist - Oral and Maxillofacial Surgery in Leominster, MA

Active since April 09, 2013PECOS Enrolled
2 JUNGLE RD, LEOMINSTER, MA 01453(978) 534-8300 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2018, May 8, 2018, Jul 12, 2017 (3 updates tracked since 2017).

About Mikhail Yurevich Kobakov Dmd NPPES

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

MIKHAIL YUREVICH KOBAKOV DMD (NPI 1356784375) is an individual oral and maxillofacial surgery provider in Leominster, Massachusetts, licensed in Massachusetts (DN1857895) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356784375
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMIKHAIL YUREVICH KOBAKOVCredential: DMD
Location Address2 JUNGLE RDLeominster, MA 01453
Mailing Address2 Jungle RdLeominster, MA 01453-5208 · (978) 534-8300
Phone(978) 534-8300
Sole ProprietorNo
Enumeration DateApril 9, 2013
Last NPPES UpdateJuly 30, 20183 updates tracked since enumeration
✔ NPI 1356784375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MA · DN1857895✔ Licensed in CT · 11809
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2 JUNGLE RD, Leominster, MA 01453
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Other Names 1

Professional Name (2)Michael Yury Kobakov Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, 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)

Mikhail Yurevich Kobakov 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 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 4

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

DR. JAMES F. CONNORS II D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
2 JUNGLE RD
LEOMINSTER, MA 01453
Worcester County (978) 534-8300
DR. SHANT BARAN D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2 JUNGLE RD
LEOMINSTER, MA 01453
Worcester County (978) 534-8300
DR. CARMINE COLARUSSO D.M.D.
Specialist
2 JUNGLE RD
LEOMINSTER, MA 01453
Worcester County (978) 534-8300
CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C.
Specialist
2 JUNGLE RD
LEOMINSTER, MA 01453
Worcester County (978) 534-8300

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 Mikhail Kobakov's NPI number?

The NPI number for Mikhail Kobakov is 1356784375. It was assigned to this individual provider in the NPPES registry on April 9, 2013. The provider is also known as Michael Yury Kobakov Dmd.

Where is Mikhail Kobakov located?

Mikhail Kobakov practices at 2 Jungle Rd, Leominster, MA 01453. The listed phone number is (978) 534-8300.

What is Mikhail Kobakov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mikhail Kobakov enrolled in Medicare?

Yes. Mikhail Kobakov is registered in the Medicare PECOS enrollment system.

What insurance does Mikhail Kobakov accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mikhail Kobakov 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 Mikhail Kobakov was last updated on July 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.