DR. ARJUN GAUBA
NPI 1669990396
Dentist in Carbondale, IL

Q: What is Arjun Gauba's NPI number?

The NPI number for Arjun Gauba is 1669990396. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Q: What is Arjun Gauba's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Arjun Gauba was last updated on July 31, 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.

Active since September 01, 2017PECOS Enrolled

402 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200(618) 519-9375 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2018, Sep 1, 2017 (2 updates tracked since 2017).

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About Dr. Arjun Gauba NPPES

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

DR. ARJUN GAUBA (NPI 1669990396) is an individual dentist in Carbondale, Illinois, licensed in Illinois (019.031356) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1669990396

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ARJUN GAUBA

Location Address402 S LEWIS LNCarbondale, IL 62901

Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-4635

Phone(618) 519-9200

Fax(618) 519-9375

Sole ProprietorNo

Enumeration DateSeptember 1, 2017

Last NPPES UpdateJuly 31, 20182 updates tracked since enumeration

✔ NPI 1669990396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.031356

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.

402 S LEWIS LN, Carbondale, IL 62901

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Secondary Practice Location 1

Location 13115 Williamson County PkwyMarion, IL 62959-5235 · Phone (618) 519-9200 · Fax (618) 997-1214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Arjun Gauba 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 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 7

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

AUDREY FIELDS DDS

Dentist