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MOHAMED ELKHAZIN DDS
NPI 1366002933
Dentist in Fresno, CA

Active since June 17, 2019PECOS Enrolled
11348 N BLUE SAGE AVE, FRESNO, CA 93730(424) 324-4102 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, Oct 18, 2019, Jun 17, 2019 (3 updates tracked since 2019).

About Mohamed Elkhazin Dds NPPES

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

MOHAMED ELKHAZIN DDS (NPI 1366002933) is an individual dentist in Fresno, California, licensed in California (104641) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366002933
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMOHAMED ELKHAZINCredential: DDS
Location Address11348 N BLUE SAGE AVEFresno, CA 93730-8846
Mailing Address11348 N Blue Sage AveFresno, CA 93730-8846 · (424) 324-4102
Phone(424) 324-4102
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1366002933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 104641
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.
11348 N BLUE SAGE AVE, Fresno, CA 93730
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Other Names 1

Other Name (5)Mohamed Elkhazin Dds

Accepted Insurance

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

Mohamed Elkhazin Dds 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 93730 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Mohamed Elkhazin's NPI number?

The NPI number for Mohamed Elkhazin is 1366002933. It was assigned to this individual provider in the NPPES registry on June 17, 2019. The provider is also known as Mohamed Elkhazin Dds.

Where is Mohamed Elkhazin located?

Mohamed Elkhazin practices at 11348 N Blue Sage Ave, Fresno, CA 93730. The listed phone number is (424) 324-4102.

What is Mohamed Elkhazin's specialty?

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

Is Mohamed Elkhazin enrolled in Medicare?

Yes. Mohamed Elkhazin is registered in the Medicare PECOS enrollment system.

What insurance does Mohamed Elkhazin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Mohamed Elkhazin 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 Mohamed Elkhazin was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.