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DR. JOHN P. ILITCH D.D.S.
NPI 1720127384
Dentist in Detroit, MI

Active since February 06, 2007PECOS Enrolled
15311 W MCNICHOLS RD, DETROIT, MI 48235(313) 838-0490(248) 539-3347 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John P. Ilitch D.d.s. NPPES

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

DR. JOHN P. ILITCH D.D.S. (NPI 1720127384) is an individual dentist in Detroit, Michigan, licensed in Michigan (14256) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720127384
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN P. ILITCHCredential: D.D.S.
Location Address15311 W MCNICHOLS RDDetroit, MI 48235-3723
Mailing Address17770 Stonebrook DrNorthville, MI 48168-4329 · (313) 838-0490 · Fax (248) 539-3347
Phone(313) 838-0490
Fax(248) 539-3347
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720127384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 14256
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.
15311 W MCNICHOLS RD, Detroit, MI 48235
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Other Identifiers 1

Other14256MI · Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. John P. Ilitch 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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

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

DENTAL CARE MANAGEMENT, INC.
Clinic/Center (Dental)
15311 W MCNICHOLS RD
DETROIT, MI 48235
Wayne County (313) 838-0490

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 John Ilitch's NPI number?

The NPI number for John Ilitch is 1720127384. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is John Ilitch located?

John Ilitch practices at 15311 W Mcnichols Rd, Detroit, MI 48235. The listed phone number is (313) 838-0490.

What is John Ilitch's specialty?

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

Is John Ilitch enrolled in Medicare?

Yes. John Ilitch is registered in the Medicare PECOS enrollment system.

What insurance does John Ilitch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list John Ilitch 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 John Ilitch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.