1. Home
  2. Directory
  3. Maryland
  4. Rockville
  5. Dentist
  6. NPI Profile

DR. GHASSAN ELIAS JACKLIS D.M.D
NPI 1659614410
Dentist - General Practice in Rockville, MD

Active since March 30, 2013Opted out of Medicare · through Jan 6, 2028
11125 ROCKVILLE PIKE STE 204, ROCKVILLE, MD 20852(301) 888-6666 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ghassan Elias Jacklis D.m.d NPPES

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

DR. GHASSAN ELIAS JACKLIS D.M.D (NPI 1659614410) is an individual general practice provider in Rockville, Maryland, licensed in Maryland (11991) and active in the NPI registry since March 2013. He has opted out of Medicare through January 6, 2028 and remains eligible to order and refer and maintains a secondary practice location in Ashburn.

NPPES Registry Identity

NPI1659614410
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GHASSAN ELIAS JACKLISCredential: D.M.D
Location Address11125 ROCKVILLE PIKE STE 204Rockville, MD 20852-3142
Mailing Address11125 Rockville Pike Ste 204Rockville, MD 20852-3142 · (301) 888-6666
Phone(301) 888-6666
Sole ProprietorYes
Enumeration DateMarch 30, 2013
Last NPPES UpdateMay 7, 2018
✔ NPI 1659614410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MD · 11991✔ Licensed in DC · 1001256
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.
11125 ROCKVILLE PIKE STE 204, Rockville, MD 20852
Open in Google Maps ↗

Secondary Practice Location 1

Location 144330 Premier Plz Ste 140Ashburn, VA 20147-5071 · Phone (703) 726-0333 · Fax (703) 726-0553

Other Identifiers 2

Other0401413871VA · License
Other11991MD · License Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ghassan Elias Jacklis D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

EXPERT ADVICE LLC
Clinic/Center (Dental)
11125 ROCKVILLE PIKE STE 204
ROCKVILLE, MD 20852
Montgomery County (301) 881-6666

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 Ghassan Jacklis's NPI number?

The NPI number for Ghassan Jacklis is 1659614410. It was assigned to this individual provider in the NPPES registry on March 30, 2013.

Where is Ghassan Jacklis located?

Ghassan Jacklis practices at 11125 Rockville Pike Ste 204, Rockville, MD 20852. The listed phone number is (301) 888-6666.

What is Ghassan Jacklis's specialty?

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

Is Ghassan Jacklis enrolled in Medicare?

No. Ghassan Jacklis has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ghassan Jacklis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ghassan Jacklis 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 Ghassan Jacklis was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.