DR. OSSAMA AZZAM D.D.S
NPI 1649609298
Dentist - General Practice in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since November 04, 2013PECOS Enrolled

4901 N KEDZIE AVE, CHICAGO, IL 60625(773) 509-9200 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ossama Azzam D.d.s NPPES

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

DR. OSSAMA AZZAM D.D.S (NPI 1649609298) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019029676) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649609298

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. OSSAMA AZZAMCredential: D.D.S

Location Address4901 N KEDZIE AVEChicago, IL 60625-5009

Mailing Address4901 N Kedzie AveChicago, IL 60625-5009 · (773) 509-9200

Phone(773) 509-9200

Sole ProprietorNo

Enumeration DateNovember 4, 2013

Last NPPES UpdateDecember 26, 2013

✔ NPI 1649609298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019029676

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.

4901 N KEDZIE AVE, Chicago, IL 60625

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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)

Dr. Ossama Azzam D.d.s 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 60625 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 13

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

SASA STOJANOVIC D.D.S.

Dentist (General Practice)