DR. FATHI ELGADDARI DMD
NPI 1558720094
Dentist - Periodontics in Philadelphia, PA

Q: What is Fathi Elgaddari's NPI number?

The NPI number for Fathi Elgaddari is 1558720094. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Q: What is Fathi Elgaddari's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Fathi Elgaddari was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 February 11, 2016PECOS Enrolled

3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1014 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2021, Jul 25, 2019, Feb 11, 2016 (3 updates tracked since 2016).

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About Dr. Fathi Elgaddari Dmd NPPES

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

DR. FATHI ELGADDARI DMD (NPI 1558720094) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in New York (061942) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558720094

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. FATHI ELGADDARICredential: DMD

Location Address3223 N BROAD STPhiladelphia, PA 19140-5007

Mailing Address35 E 85th St Apt 1nNew York, NY 10028-0984 · (646) 226-2477

Phone(215) 707-1014

Sole ProprietorYes

Enumeration DateFebruary 11, 2016

Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1558720094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NY · 061942

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3223 N BROAD ST, Philadelphia, PA 19140

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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. Fathi Elgaddari Dmd 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 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

JOHN PAUL FRIEL JR. DDS

Dentist (General Practice)