BAILEY LEE CHELEMEDOS DDS
NPI 1619671971
Dentist in San Diego, CA

Q: What is Bailey Chelemedos's NPI number?

The NPI number for Bailey Chelemedos is 1619671971. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Bailey Chelemedos'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 Bailey Chelemedos was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 29, 2023PECOS Enrolled

8899 UNIVERSITY CENTER LN STE 245, SAN DIEGO, CA 92122(858) 955-0089 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2024, Mar 29, 2023 (2 updates tracked since 2023).

On this page

About Bailey Lee Chelemedos Dds NPPES

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

BAILEY LEE CHELEMEDOS DDS (NPI 1619671971) is an individual dentist in San Diego, California, licensed in California (109813) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1619671971

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameBAILEY LEE CHELEMEDOSCredential: DDS

Location Address8899 UNIVERSITY CENTER LN STE 245San Diego, CA 92122-1010

Mailing Address1825 Nicola DrPetaluma, CA 94954-5792 · (415) 990-4171

Phone(858) 955-0089

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJune 8, 20242 updates tracked since enumeration

NPPES CertifiedJune 8, 2024

✔ NPI 1619671971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 109813

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

8899 UNIVERSITY CENTER LN STE 245, San Diego, CA 92122

Open in Google Maps ↗

Secondary Practice Location 1

Location 1630 W 168th StNew York, NY 10032-3725 · Phone (212) 305-2500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bailey Lee Chelemedos 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 Bailey Chelemedos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro,inc

9.1 mi

Federally Qualified Health Center (FQHC)

550 WASHINGTON ST STE 331
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
577 clinicians in this Medicare group

NPI 1962177873 (619) 662-4100

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 92122 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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

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

DR. DAVID S. ESHOM D.D.S.

Dentist (General Practice)

8899 UNIVERSITY CENTER LN STE 245
SAN DIEGO, CA 92122

San Diego County (858) 455-9151

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 Bailey Chelemedos's NPI number?

The NPI number for Bailey Chelemedos is 1619671971. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Bailey Chelemedos located?

Bailey Chelemedos practices at 8899 University Center Ln Ste 245, San Diego, CA 92122. The listed phone number is (858) 955-0089.

What is Bailey Chelemedos's specialty?

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

Is Bailey Chelemedos enrolled in Medicare?

Yes. Bailey Chelemedos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bailey Chelemedos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Chelemedos reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA). 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 Bailey Chelemedos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bailey Chelemedos was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.