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DR. RICHARD GARY ROSENBLATT D.M.D.
NPI 1558488155
Dentist - General Practice in Lake Forest, IL

Active since March 26, 2007PECOS Enrolled
1400 N WESTERN AVE, LAKE FOREST, IL 60045(847) 234-4405(847) 234-4585 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Gary Rosenblatt D.m.d. NPPES

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

DR. RICHARD GARY ROSENBLATT D.M.D. (NPI 1558488155) is an individual general practice provider in Lake Forest, Illinois, licensed in Illinois (019024962) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558488155
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD GARY ROSENBLATTCredential: D.M.D.
Location Address1400 N WESTERN AVELake Forest, IL 60045-5404
Mailing Address1911 Cavell AveHighland Park, IL 60035-2216 · (847) 579-1247
Phone(847) 234-4405
Fax(847) 234-4585
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJune 2, 2015
✔ NPI 1558488155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019024962
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.
1400 N WESTERN AVE, Lake Forest, IL 60045
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Other Identifiers 1

Other208034070IL · Ein #

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)

Dr. Richard Gary Rosenblatt D.m.d. 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 60045 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 3

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

DR. WILLIAM BRIAN ROSS DDS
Dentist
1400 N WESTERN AVE
LAKE FOREST, IL 60045
Lake County (847) 234-8608
W BRIAN ROSS DDS PC
Clinic/Center (Dental)
1400 N WESTERN AVE
LAKE FOREST, IL 60045
Lake County (847) 234-8608
DR. ROBERT T DURRETT DDS
Dentist
1400 N WESTERN AVE
LAKE FOREST, IL 60045
Lake County (847) 234-8608

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 Richard Rosenblatt's NPI number?

The NPI number for Richard Rosenblatt is 1558488155. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Richard Rosenblatt located?

Richard Rosenblatt practices at 1400 N Western Ave, Lake Forest, IL 60045. The listed phone number is (847) 234-4405.

What is Richard Rosenblatt's specialty?

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

Is Richard Rosenblatt enrolled in Medicare?

Yes. Richard Rosenblatt is registered in the Medicare PECOS enrollment system.

What insurance does Richard Rosenblatt accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Richard Rosenblatt 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 Richard Rosenblatt was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.