1. Home
  2. Directory
  3. Illinois
  4. Morton Grove
  5. Dentist
  6. NPI Profile

DR. IRINA BOLOTNIKOVA D.D.S.
NPI 1396816419
Dentist - General Practice in Morton Grove, IL

Active since November 11, 2006PECOS Enrolled
7963 GOLF RD, MORTON GROVE, IL 60053(847) 583-0033(847) 583-0013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Irina Bolotnikova D.d.s. NPPES

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

DR. IRINA BOLOTNIKOVA D.D.S. (NPI 1396816419) is an individual general practice provider in Morton Grove, Illinois and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396816419
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IRINA BOLOTNIKOVACredential: D.D.S.
Location Address7963 GOLF RDMorton Grove, IL 60053-1040
Mailing Address7963 Golf RdMorton Grove, IL 60053-1040 · (847) 583-0033 · Fax (847) 583-0013
Phone(847) 583-0033
Fax(847) 583-0013
Sole ProprietorNo
Enumeration DateNovember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396816419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
7963 GOLF RD, Morton Grove, IL 60053
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Irina Bolotnikova D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show Irina Bolotnikova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Lake
9.2 mi
Federally Qualified Health Center (FQHC)
1840 GREEN BAY RD
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1285663328 (847) 984-5300

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 60053 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

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

DR. IGOR BOTVINNIK D.D.S.
Dentist (General Practice)
7963 GOLF RD
MORTON GROVE, IL 60053
Cook County (847) 583-0033

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 Irina Bolotnikova's NPI number?

The NPI number for Irina Bolotnikova is 1396816419. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Irina Bolotnikova located?

Irina Bolotnikova practices at 7963 Golf Rd, Morton Grove, IL 60053. The listed phone number is (847) 583-0033.

What is Irina Bolotnikova's specialty?

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

Is Irina Bolotnikova enrolled in Medicare?

Yes. Irina Bolotnikova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Irina Bolotnikova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Bolotnikova reassigns Medicare benefits to County Of Lake (Highland Park, IL). 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 Irina Bolotnikova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irina Bolotnikova accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Irina Bolotnikova 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 Irina Bolotnikova was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.