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NUSIBAH KHALED ALTAYIB DDS
NPI 1629366919
Dentist - General Practice in Rochester, MN

Active since July 20, 2011PECOS Enrolled
973 SKYLINE DR SW, ROCHESTER, MN 55902(507) 424-1040 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nusibah Khaled Altayib Dds NPPES

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

NUSIBAH KHALED ALTAYIB DDS (NPI 1629366919) is an individual general practice provider in Rochester, Minnesota, licensed in Louisiana (PENDING) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1629366919
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNUSIBAH KHALED ALTAYIBCredential: DDS
Location Address973 SKYLINE DR SWRochester, MN 55902
Mailing Address973 Skyline Dr SwRochester, MN 55902-1220 · (507) 424-1040
Phone(507) 424-1040
Sole ProprietorNo
Enumeration DateJuly 20, 2011
Last NPPES UpdateMay 31, 2019
✔ NPI 1629366919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · PENDING
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License PENDING (LA)
973 SKYLINE DR SW, Rochester, MN 55902
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Secondary Practice Location 1

Location 13735 Jewella AveShreveport, LA 71109-4703 · Phone (318) 759-0131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nusibah Khaled Altayib 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 55902 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 11

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

ASHLEY HUEMAN
Advanced Practice Dental Therapist
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 474-1040
DR. RACHANA NEVILE D.D.S.
Dentist
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
DR. ERICH LLOYD EICHWALD DDS
Dentist
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
STEPHEN SYLWESTRAK DDS
Dentist
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
RONALD L GROTHE D.D.S.
Dentist (Pediatric Dentistry)
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
NISHA KAMPASI
Dentist (General Practice)
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
DR. VICTORIA LEIGH BRUGGER D.D.S.
Dentist
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040
CHRISTINA ELISE PAULEY DDS
Dentist (General Practice)
973 SKYLINE DR SW
ROCHESTER, MN 55902
Olmsted County (507) 424-1040

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 Nusibah Altayib's NPI number?

The NPI number for Nusibah Altayib is 1629366919. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Nusibah Altayib located?

Nusibah Altayib practices at 973 Skyline Dr SW, Rochester, MN 55902. The listed phone number is (507) 424-1040.

What is Nusibah Altayib's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nusibah Altayib enrolled in Medicare?

Yes. Nusibah Altayib is registered in the Medicare PECOS enrollment system.

What insurance does Nusibah Altayib accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Nusibah Altayib 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 Nusibah Altayib was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.