RAWAN SARSOUR
NPI 1659756161
Dentist - Pediatric Dentistry in Farmington, CT

Q: What is Rawan Sarsour's NPI number?

The NPI number for Rawan Sarsour is 1659756161. It was assigned to this individual provider in the NPPES registry on July 26, 2015.

Q: What is Rawan Sarsour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Rawan Sarsour was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 26, 2015PECOS Enrolled

263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2000 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2021, Sep 3, 2020 (2 updates tracked since 2020).

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About Rawan Sarsour NPPES

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

RAWAN SARSOUR (NPI 1659756161) is an individual pediatric dentistry provider in Farmington, Connecticut, licensed in Connecticut (12723) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659756161

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameRAWAN SARSOUR

Location Address263 FARMINGTON AVEFarmington, CT 06030-0001

Mailing Address263 Farmington AveFarmington, CT 06030-0001 · (860) 679-2000

Phone(860) 679-2000

Sole ProprietorNo

Enumeration DateJuly 26, 2015

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1659756161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CT · 12723

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

263 FARMINGTON AVE, Farmington, CT 06030

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Accepted Insurance

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

Rawan Sarsour 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 06030 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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 20

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

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