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FAWWAZ FAIZ ALOTAIBI
NPI 1669902615
Dentist in Alexandria, VA

Active since June 13, 2017PECOS Enrolled
6161 EDSALL RD APT 1608, ALEXANDRIA, VA 22304(404) 431-9587 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 13, 2017 (2 updates tracked since 2017).

About Fawwaz Faiz Alotaibi NPPES

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

FAWWAZ FAIZ ALOTAIBI (NPI 1669902615) is an individual dentist in Alexandria, Virginia, licensed in Mississippi (3917-17) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669902615
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameFAWWAZ FAIZ ALOTAIBI
Location Address6161 EDSALL RD APT 1608Alexandria, VA 22304-4141
Mailing Address6161 Edsall Rd Apt 1608Alexandria, VA 22304-4141 · (404) 431-9587
Phone(404) 431-9587
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1669902615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 3917-17
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.
6161 EDSALL RD APT 1608, Alexandria, VA 22304
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Other Names 1

Professional Name (2)Fawwaz Alotaibi Dentist

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fawwaz Faiz Alotaibi 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 Fawwaz Alotaibi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Center, Inc
827 mi
Community Health Worker
203 BROAD STREET
Sandersville, MS 39477
  • Reassigned Medicare billing, Mississippi enrollment
  • 20 clinicians in this Medicare group
NPI 1578744900 (601) 428-9918

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 22304 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.

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 Fawwaz Alotaibi's NPI number?

The NPI number for Fawwaz Alotaibi is 1669902615. It was assigned to this individual provider in the NPPES registry on June 13, 2017. The provider is also known as Fawwaz Alotaibi Dentist.

Where is Fawwaz Alotaibi located?

Fawwaz Alotaibi practices at 6161 Edsall Rd Apt 1608, Alexandria, VA 22304. The listed phone number is (404) 431-9587.

What is Fawwaz Alotaibi's specialty?

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

Is Fawwaz Alotaibi enrolled in Medicare?

Yes. Fawwaz Alotaibi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fawwaz Alotaibi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fawwaz Alotaibi reassigns Medicare benefits to Family Health Center, Inc (Sandersville, MS). 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 Fawwaz Alotaibi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fawwaz Alotaibi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Molina Healthcare list Fawwaz Alotaibi 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 Fawwaz Alotaibi was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.