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PAKHSHAN GHADERI DDS
NPI 1619339611
Dentist in Rochester, NY

Active since March 28, 2016PECOS Enrolled
625 ELMWOOD AVE, ROCHESTER, NY 14620(585) 275-9801(585) 276-1244 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017, Mar 28, 2016 (3 updates tracked since 2016).

About Pakhshan Ghaderi Dds NPPES

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

PAKHSHAN GHADERI DDS (NPI 1619339611) is an individual dentist in Rochester, New York, licensed in New York (059280) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619339611
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NamePAKHSHAN GHADERICredential: DDS
Location Address625 ELMWOOD AVERochester, NY 14620-2913
Mailing Address630 W 170th St Apt 4cNew York, NY 10032-3505 · (347) 884-4472
Phone(585) 275-9801
Fax(585) 276-1244
Sole ProprietorNo
Enumeration DateMarch 28, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1619339611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 059280
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 ELMWOOD AVE, Rochester, NY 14620
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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)

Pakhshan Ghaderi 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

AHMED ALSAYED
Dentist
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
DOROTA KOPYCKA-KEDZIERAWSKI D.D.S.
Dentist (General Practice)
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-0706
HAZEM ALWAZZAN D.D.S.
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Monroe County (585) 275-5087
ALEXIS VASCIANNIE
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
DR. DARREN MORGAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 424-6400
DR. CHRISTOPHER DANNA DDS
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
LORENA CIDRAL
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-5051
NOJOOD ELBAAGE
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Monroe County (585) 275-1147

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 Pakhshan Ghaderi's NPI number?

The NPI number for Pakhshan Ghaderi is 1619339611. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Pakhshan Ghaderi located?

Pakhshan Ghaderi practices at 625 Elmwood Ave, Rochester, NY 14620. The listed phone number is (585) 275-9801.

What is Pakhshan Ghaderi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Pakhshan Ghaderi enrolled in Medicare?

Yes. Pakhshan Ghaderi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pakhshan Ghaderi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.