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DR. NASIM KHOSHFETRAT DMD
NPI 1689167983
Dentist in Chicago, IL

Active since June 11, 2018PECOS Enrolled
2500 W NORTH AVE, CHICAGO, IL 60647(773) 360-1281 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nasim Khoshfetrat Dmd NPPES

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

DR. NASIM KHOSHFETRAT DMD (NPI 1689167983) is an individual dentist in Chicago, Illinois, licensed in Illinois (019031302) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689167983
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NASIM KHOSHFETRATCredential: DMD
Location Address2500 W NORTH AVEChicago, IL 60647-5202
Mailing Address2500 W North AveChicago, IL 60647-5202
Phone(773) 360-1281
Sole ProprietorNo
Enumeration DateJune 11, 2018
✔ NPI 1689167983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019031302
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.
2500 W NORTH AVE, Chicago, IL 60647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Nasim Khoshfetrat Dmd 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 60647 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.

Other Providers at the Same Location NPPES 4

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

DENTAL MAGIC NORTH AVE, INC
Dentist (General Practice)
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
D2 DENTAL OF LANSING, P.C.
Dentist (General Practice)
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
DR. KYLE JOSEPH FAIRBANKS DMD
Dentist
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
DENTAL 360-BUCKTOWN LLC
Dentist (General Practice)
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281

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 Nasim Khoshfetrat's NPI number?

The NPI number for Nasim Khoshfetrat is 1689167983. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Nasim Khoshfetrat located?

Nasim Khoshfetrat practices at 2500 W North Ave, Chicago, IL 60647. The listed phone number is (773) 360-1281.

What is Nasim Khoshfetrat's specialty?

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

Is Nasim Khoshfetrat enrolled in Medicare?

Yes. Nasim Khoshfetrat is registered in the Medicare PECOS enrollment system.

What insurance does Nasim Khoshfetrat accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Nasim Khoshfetrat 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 Nasim Khoshfetrat was last updated on June 11, 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.