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ELLIE HEYDARI DDS
NPI 1518137652
Dentist - General Practice in Bayfield, WI

Active since March 05, 2008PECOS Enrolled
36745 AIKEN RD., RED CLIFF COMMUNITY HEALTH CENTER, BAYFIELD, WI 54814(715) 779-3707(715) 779-3622 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ellie Heydari Dds NPPES

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

ELLIE HEYDARI DDS (NPI 1518137652) is an individual general practice provider in Bayfield, Wisconsin, licensed in Wisconsin (7252-15) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518137652
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameELLIE HEYDARICredential: DDS
Location Address36745 AIKEN RD., RED CLIFF COMMUNITY HEALTH CENTERBayfield, WI 54814
Mailing Address36745 Aiken Rd, 36745 Aiken Rd.Bayfield, WI 54814-4579 · (715) 779-3707 · Fax (715) 779-3622
Phone(715) 779-3707
Fax(715) 779-3622
Sole ProprietorYes
Enumeration DateMarch 5, 2008
Last NPPES UpdateFebruary 10, 2017
✔ NPI 1518137652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WI · 7252-15✔ Licensed in MI · 2901017468
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.
36745 AIKEN RD., Bayfield, WI 54814
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Accepted Insurance

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

Ellie Heydari Dds 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 Ellie Heydari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of Health & Human Services Phs Ihs
183 mi
Critical Access
425 7TH ST NW
Cass Lake, MN 56633
  • Reassigned Medicare billing, Texas enrollment
  • 98 clinicians in this Medicare group
NPI 1194754382 (218) 335-3200

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 54814 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Ellie Heydari's NPI number?

The NPI number for Ellie Heydari is 1518137652. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Ellie Heydari located?

Ellie Heydari practices at 36745 Aiken Rd. Red Cliff Community Health Center, Bayfield, WI 54814. The listed phone number is (715) 779-3707.

What is Ellie Heydari's specialty?

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

Is Ellie Heydari enrolled in Medicare?

Yes. Ellie Heydari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellie Heydari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellie Heydari reassigns Medicare benefits to Department Of Health & Human Services Phs Ihs (Cass Lake, MN). 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 Ellie Heydari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellie Heydari accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ellie Heydari 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 Ellie Heydari was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.