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EZIO NOVELLI DDS, MD
NPI 1558622712
Oral & Maxillofacial Surgery in Okemos, MI

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
4201 OKEMOS RD, OKEMOS, MI 48864(517) 349-8383 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezio Novelli Dds, Md NPPES

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

EZIO NOVELLI DDS, MD (NPI 1558622712) is an individual oral & maxillofacial surgery provider in Okemos, Michigan, licensed in Michigan (4301109597) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan School Of Dentistry (2016).

NPPES Registry Identity

NPI1558622712
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameEZIO NOVELLICredential: DDS, MD
Location Address4201 OKEMOS RDOkemos, MI 48864
Mailing Address4201 Okemos RdOkemos, MI 48864-3200
Phone(517) 349-8383
Sole ProprietorYes
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2016
Enumeration DateJune 5, 2012
Last NPPES UpdateJune 8, 2018
✔ NPI 1558622712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MI · 4301109597
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2901020703 (MI)
4201 OKEMOS RD, Okemos, MI 48864
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ezio Novelli Dds, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406162973
PECOS Enrollment IDI20180628002127
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.

Other Providers at the Same Location NPPES

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

JUSTINE SHERYLYN MOE MD, DDS
Dentist (Oral and Maxillofacial Surgery)
4201 OKEMOS RD
OKEMOS, MI 48864
Ingham County (517) 349-8383

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 Ezio Novelli's NPI number?

The NPI number for Ezio Novelli is 1558622712. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Ezio Novelli located?

Ezio Novelli practices at 4201 Okemos Rd, Okemos, MI 48864. The listed phone number is (517) 349-8383.

What is Ezio Novelli's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ezio Novelli enrolled in Medicare?

Yes. Ezio Novelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ezio Novelli accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Delta Dental of Michigan list Ezio Novelli 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 Ezio Novelli was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.