1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dentist
  6. NPI Profile

DR. RHAY ELLIOTT STREET D.D.S.
NPI 1669510202
Dentist in Chicago, IL

Active since February 04, 2007PECOS Enrolled
10703 S HALE AVE, CHICAGO, IL 60643(773) 640-0813 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Sep 14, 2020 (2 updates tracked since 2020).

About Dr. Rhay Elliott Street D.d.s. NPPES

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

DR. RHAY ELLIOTT STREET D.D.S. (NPI 1669510202) is an individual dentist in Chicago, Illinois, licensed in Illinois (019-023780) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669510202
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RHAY ELLIOTT STREETCredential: D.D.S.
Location Address10703 S HALE AVEChicago, IL 60643-3306
Mailing Address10703 S Hale AveChicago, IL 60643-3306 · (773) 640-0813
Phone(773) 640-0813
Sole ProprietorYes
Enumeration DateFebruary 4, 2007
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1669510202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019-023780
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019023780 (IL)
10703 S HALE AVE, Chicago, IL 60643
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rhay Elliott Street 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.

Medicare Billing Reassignment

Medicare enrollment records show Rhay Street reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook County
2.7 mi
Multi-Specialty
12757 SOUTH WESTERN AVENUE
Blue Island, IL 60406
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1649390022 (708) 633-2555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60643 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.

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 Rhay Street's NPI number?

The NPI number for Rhay Street is 1669510202. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is Rhay Street located?

Rhay Street practices at 10703 S Hale Ave, Chicago, IL 60643. The listed phone number is (773) 640-0813.

What is Rhay Street's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rhay Street enrolled in Medicare?

Yes. Rhay Street is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rhay Street's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhay Street reassigns Medicare benefits to Cook County (Blue Island, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rhay Street's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rhay Street accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 9 other insurers list Rhay Street 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 Rhay Street was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.