MICHAEL JAMES KANELLIS DDS MS
NPI 1518061209
Dentist - Pediatric Dentistry in Iowa City, IA

Q: What is Michael Kanellis's NPI number?

The NPI number for Michael Kanellis is 1518061209. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Michael Kanellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kanellis was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 12, 2006PECOS Enrolled

322 S DENTAL SCIENCE BLDG, IOWA CITY, IA 52242(319) 384-1139(319) 384-1785 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michael James Kanellis Dds Ms NPPES

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

MICHAEL JAMES KANELLIS DDS MS (NPI 1518061209) is an individual pediatric dentistry provider in Iowa City, Iowa, licensed in Iowa (06521) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518061209

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameMICHAEL JAMES KANELLISCredential: DDS MS

Location Address322 S DENTAL SCIENCE BLDGIowa City, IA 52242-1001

Mailing Address257 S Dental Science BldgIowa City, IA 52242-1001 · (319) 335-7431 · Fax (319) 335-7155

Phone(319) 384-1139

Fax(319) 384-1785

Sole ProprietorNo

Enumeration DateSeptember 12, 2006

Last NPPES UpdateFebruary 21, 2013

✔ NPI 1518061209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IA · 06521

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

322 S DENTAL SCIENCE BLDG, Iowa City, IA 52242

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Other Identifiers 1

Medicaid1007047IA

Accepted Insurance

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

Michael James Kanellis Dds Ms 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 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

KARIN WEBER-GASPARONI DDS MS PHD

Dentist (Pediatric Dentistry)

322 S DENTAL SCIENCE BLDG, CENTER FOR DISABILITY AND DEVELOPMENT
IOWA CITY, IA 52242

Johnson County (319) 335-7440

STEVEN DOUGLAS VINCENT DDS

Dentist (Oral and Maxillofacial Pathology)