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THAER AL AZZAWI D.M.D.
NPI 1366823262
Dentist in Chicago, IL

Active since June 16, 2015PECOS Enrolled
811 W WELLINGTON AVE, CHICAGO, IL 60657(773) 871-1461(773) 871-6353 Get Directions Write a Review

NPPES record last updated: August 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2023, Jun 21, 2023, Jun 21, 2018 and 1 more (4 updates tracked since 2017).

About Thaer Al Azzawi D.m.d. NPPES

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

THAER AL AZZAWI D.M.D. (NPI 1366823262) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.033851) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366823262
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHAER AL AZZAWICredential: D.M.D.
Location Address811 W WELLINGTON AVEChicago, IL 60657-5123
Mailing Address9150 Beechnut St Ste AHouston, TX 77036
Phone(773) 871-1461
Fax(773) 871-6353
Sole ProprietorYes
Enumeration DateJune 16, 2015
Last NPPES UpdateAugust 26, 20234 updates tracked since enumeration
NPPES CertifiedAugust 26, 2023
✔ NPI 1366823262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in IL · 019.033851✔ Licensed in TX · 31017
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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 019.033851 (IL)
811 W WELLINGTON AVE, Chicago, IL 60657
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Thaer Al Azzawi D.m.d. 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 60657 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.

HIBAH KHAN
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461
NIA MARSHALL
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-2188
DR. CODY WILFINGER DDS
Student in an Organized Health Care Education/Training Program
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. CAROLINE LUCILLE GREEN DMD
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461
JANICE CHOO
Student in an Organized Health Care Education/Training Program
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. KATIE ELIZABETH LIMARDI D.D.S.
Dentist
811 W WELLINGTON AVE, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
CHICAGO, IL 60657
Cook County (773) 871-1461
DR. CATHARINE MARGARET KENNEDY D.D.S
Dentist (General Practice)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-6138
DR. AYANNA WILLIAMS DDS
Dentist (Pediatric Dentistry)
811 W WELLINGTON AVE
CHICAGO, IL 60657
Cook County (773) 871-1461

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 Thaer Al Azzawi's NPI number?

The NPI number for Thaer Al Azzawi is 1366823262. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Thaer Al Azzawi located?

Thaer Al Azzawi practices at 811 W Wellington Ave, Chicago, IL 60657. The listed phone number is (773) 871-1461.

What is Thaer Al Azzawi's specialty?

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

Is Thaer Al Azzawi enrolled in Medicare?

Yes. Thaer Al Azzawi is registered in the Medicare PECOS enrollment system.

What insurance does Thaer Al Azzawi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Thaer Al Azzawi 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 Thaer Al Azzawi was last updated on August 26, 2023. 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.