DR. AMJAD NAZZAL DDS
NPI 1487915484
Dentist - Periodontics in Fitchburg, WI
About Dr. Amjad Nazzal Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMJAD NAZZAL DDS (NPI 1487915484) is an individual periodontics provider in Fitchburg, Wisconsin, licensed in Wisconsin (1001063-15) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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)
Dr. Amjad Nazzal Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FITCHBURG, WI 53711
FITCHBURG, WI 53711
FITCHBURG, WI 53711
FITCHBURG, WI 53711
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 Amjad Nazzal's NPI number?
The NPI number for Amjad Nazzal is 1487915484. It was assigned to this individual provider in the NPPES registry on June 6, 2012.
Where is Amjad Nazzal located?
Amjad Nazzal practices at 2971 Chapel Valley Rd, Fitchburg, WI 53711. The listed phone number is (608) 443-4940.
What is Amjad Nazzal's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Amjad Nazzal enrolled in Medicare?
Yes. Amjad Nazzal is registered in the Medicare PECOS enrollment system.
What insurance does Amjad Nazzal 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, Delta Dental of Wisconsin, Inc. and Humana list Amjad Nazzal 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 Amjad Nazzal was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Amjad Nazzal, DDS · NPI 1487915484
Periodontics provider in Fitchburg, Wisconsin. Individual provider, active in the CMS NPPES registry since June 6, 2012.
## Identity
- **NPI:** 1487915484 (Entity type: Individual)
- **Enumerated:** June 6, 2012
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 1001063-15 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2971 CHAPEL VALLEY RD, Fitchburg, WI 53711
- **Phone:** (608) 443-4940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** December 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1487915484) · Data from the CMS NPPES public registry.