DR. YUNUS AHMED DDS
NPI 1629800867
Dentist - General Practice in Springfield, IL

NPI Status: Active since August 16, 2024

Contact Information

2239 E COOK ST
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 788-2300

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  • Individual
  • Male
  • Years of Experience 2
  • Dentist
  • General Practice
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About YUNUS AHMED

This page provides the complete NPI Profile along with additional information for Yunus Ahmed, a provider established in Springfield, Illinois with a medical specialization in Dentist, focusing in general practice and more than 2 years of experience. He graduated from Univ Of Calif, Los Angeles School Of Dentistry in 2024. The healthcare provider is registered in the NPI registry with number 1629800867 assigned on August 2024. The practitioner's primary taxonomy code is 1223G0001X with license number 019.035447 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1629800867
Provider Name
DR. YUNUS AHMED DDS
Gender
Male
Entity Type
Individual
Location Address
2239 E COOK ST SPRINGFIELD, IL 62703
Location Phone
(217) 788-2300
Mailing Address
2239 E COOK ST SPRINGFIELD, IL 62703
Mailing Phone
(217) 788-2300
Medical School Name
UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
08-16-2024
Last Update Date
09-09-2025
Code Navigator

A dentist like Yunus Ahmed is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
019.035447
License State
IL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO
  • High PPO Dental Plan - PPO
  • High PPO Dental Plan (Pediatric Only) - PPO
  • Kansas Preferred Plan - PPO
  • Kansas Preferred Plan (Pediatric Only) - PPO
  • Kansas Wellness Essentials Plan - PPO
  • Low PPO Dental Plan - PPO
  • Low PPO Dental Plan (Pediatric Only) - PPO
  • Mississippi Preferred Plan - PPO
  • Mississippi Preferred Plan (Pediatric Only) - PPO
  • Mississippi Wellness Essentials Plan - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Yunus Ahmed is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Yunus Ahmed is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7719495951

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250731001392

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 62703 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. YUNUS AHMED DDS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629800867, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 6 + 0 + 0 + 8 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1629800867.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Family Medicine (Adult Medicine)
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Internal Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Advanced Practice Midwife
2239 E COOK ST, CENTRAL COUNTIES HEALTH CENTERS
SPRINGFIELD, IL 62703
Pediatrics
2239 E COOK ST
SPRINGFIELD, IL 62703
Pediatrics
2239 E COOK ST
SPRINGFIELD, IL 62703
Internal Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Social Worker (Clinical)
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Clinic/Center (Federally Qualified Health Center (FQHC))
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Pediatrics
2239 E COOK ST, CENTRAL COUNTIES HEALTH CENTERS
SPRINGFIELD, IL 62703
Family Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Pediatrics)
2239 E COOK ST
SPRINGFIELD, IL 62703
Counselor (Professional)
2239 E COOK ST
SPRINGFIELD, IL 62703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629800867, enumerated as an "individual" on August 16, 2024.

The provider is located at 2239 E COOK ST SPRINGFIELD, IL 62703 and the phone number is (217) 788-2300.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.