DR. KAJOL KANSARA DDS
NPI 1619565405
Dentist in Cicero, IL

Q: What is Kajol Kansara's NPI number?

The NPI number for Kajol Kansara is 1619565405. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Kajol Kansara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kajol Kansara was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 06, 2021PECOS Enrolled

1639 S CICERO AVE, CICERO, IL 60804(708) 477-6717 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kajol Kansara Dds NPPES

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

DR. KAJOL KANSARA DDS (NPI 1619565405) is an individual dentist in Cicero, Illinois, licensed in Illinois (019.032962) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619565405

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. KAJOL KANSARACredential: DDS

Location Address1639 S CICERO AVECicero, IL 60804-1520

Mailing Address671 Heather LnBartlett, IL 60103-5801 · (248) 943-8127

Phone(708) 477-6717

Sole ProprietorYes

Enumeration DateJanuary 6, 2021

Last NPPES UpdateJanuary 7, 2021

NPPES CertifiedJanuary 7, 2021

✔ NPI 1619565405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.032962

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.

1639 S CICERO AVE, Cicero, IL 60804

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kajol Kansara 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.

Medicare Billing Reassignment

Medicare enrollment records show Kajol Kansara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promise Healthcare Nfp

109 mi

Federally Qualified Health Center (FQHC)

424 E WABASH AVE
Rantoul, IL 61866

Reassigned Medicare billing, Illinois enrollment
48 clinicians in this Medicare group

NPI 1629846928 (217) 356-1558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60804 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 2

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

CICERO DENTAL CENTER LLC

Dentist (General Practice)

1639 S CICERO AVE
CICERO, IL 60804

Cook County (708) 477-6717

ARIF SAMEE, DDS CHTD

Dentist (General Practice)

1639 S CICERO AVE
CICERO, IL 60804

Cook County (708) 477-6717

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 Kajol Kansara's NPI number?

The NPI number for Kajol Kansara is 1619565405. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is Kajol Kansara located?

Kajol Kansara practices at 1639 S Cicero Ave, Cicero, IL 60804. The listed phone number is (708) 477-6717.

What is Kajol Kansara's specialty?

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

Is Kajol Kansara enrolled in Medicare?

Yes. Kajol Kansara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kajol Kansara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajol Kansara reassigns Medicare benefits to Promise Healthcare Nfp (Rantoul, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kajol Kansara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kajol Kansara 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 Guardian and 5 other insurers list Kajol Kansara 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 Kajol Kansara was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.