DR. MOHAMMED M AL-OBAIDI DMD, MD
NPI 1396063608
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
2414 ELLIS ST, APT 301, DALLAS, TX 75204(606) 425-3520 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Nov 8, 2017, Jun 16, 2016 (3 updates tracked since 2016).

About Dr. Mohammed M Al-obaidi Dmd, Md NPPES

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

DR. MOHAMMED M AL-OBAIDI DMD, MD (NPI 1396063608) is an individual oral and maxillofacial surgery provider in Dallas, Texas, licensed in Texas (25586) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1396063608
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MOHAMMED M AL-OBAIDICredential: DMD, MD
Location Address2414 ELLIS ST, APT 301Dallas, TX 75204-0753
Mailing Address3120 State St Apt JDallas, TX 75204-2626 · (606) 425-3520
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateMay 11, 2010
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1396063608 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 TX · 25586✔ Licensed in TX · Q7999
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.
2414 ELLIS ST, Dallas, TX 75204

Secondary Practice Location 1

Location 12414 Ellis St, Apt 301Dallas, TX 75204-0753 · Phone (606) 425-3520

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammed M Al-obaidi Dmd, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103104427
PECOS Enrollment IDI20171219000683
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 Mohammed Al-obaidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group

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 75204 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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 Mohammed Al-obaidi's NPI number?

The NPI number for Mohammed Al-obaidi is 1396063608. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Mohammed Al-obaidi located?

Mohammed Al-obaidi practices at 2414 Ellis St Apt 301, Dallas, TX 75204. The listed phone number is (606) 425-3520.

What is Mohammed Al-obaidi's specialty?

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

Is Mohammed Al-obaidi enrolled in Medicare?

Yes. Mohammed Al-obaidi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mohammed Al-obaidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Al-obaidi reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Mohammed Al-obaidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Al-obaidi 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 20 other insurers list Mohammed Al-obaidi 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 Mohammed Al-obaidi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.