AMEIR A ELTOM DDS
NPI 1538308002
Dentist - General Practice in Oakland, CA

Active since February 06, 2009Opted out of Medicare · through Oct 20, 2026
3451 E 12TH ST, OAKLAND, CA 94601(510) 535-3302(510) 536-9453 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ameir A Eltom Dds NPPES

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

AMEIR A ELTOM DDS (NPI 1538308002) is an individual general practice provider in Oakland, California, licensed in California (DDS56950) and active in the NPI registry since February 2009. He has opted out of Medicare through October 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1538308002
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameAMEIR A ELTOMCredential: DDS
Location Address3451 E 12TH STOakland, CA 94601-3425
Mailing Address1601 Fruitvale AveOakland, CA 94601-2418 · (510) 535-4000
Fax(510) 536-9453
Sole ProprietorNo
Enumeration DateFebruary 6, 2009
NPI 1538308002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · DDS56950
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.

3451 E 12TH ST, Oakland, CA 94601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ameir A Eltom Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2016 through October 20, 2026.

Opt-Out Effective DateOctober 20, 2016
Opt-Out In Effect ThroughOctober 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Pediatrics
3451 E 12TH ST
OAKLAND, CA 94601
Physician Assistant (Medical)
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Nurse Practitioner (Pediatrics)
3451 E 12TH ST
OAKLAND, CA 94601
Pharmacist
3451 E 12TH ST
OAKLAND, CA 94601
Registered Nurse
3451 E 12TH ST
OAKLAND, CA 94601
Counselor
3451 E 12TH ST
OAKLAND, CA 94601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538308002, enumerated as an "individual" on February 06, 2009.

The provider is located at 3451 E 12TH ST OAKLAND, CA 94601 and the phone number is (510) 535-3302.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Alabama,. Please consult your insurance carrier or call the provider to verify.