DR. SAMUEL LOUIS BOBEK DMD, MD
NPI 1720292436
Oral & Maxillofacial Surgery in Seattle, WA

Active since May 10, 2007Opted out of Medicare · through Feb 29, 2028
600 BROADWAY STE 460, SEATTLE, WA 98122(206) 207-1525(206) 207-1625 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Louis Bobek Dmd, Md NPPES

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

DR. SAMUEL LOUIS BOBEK DMD, MD (NPI 1720292436) is an individual oral & maxillofacial surgery provider in Seattle, Washington, licensed in Washington (MD60495614) and active in the NPI registry since May 2007. He has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1720292436
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. SAMUEL LOUIS BOBEKCredential: DMD, MD
Location Address600 BROADWAY STE 460Seattle, WA 98122-5312
Mailing Address600 Broadway Ste 460Seattle, WA 98122-5312 · (206) 207-1525 · Fax (206) 207-1625
Fax(206) 207-1625
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateFebruary 29, 2020
NPI 1720292436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in WA · MD60495614
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DE60497405 (WA)
600 BROADWAY STE 460, Seattle, WA 98122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Samuel Louis Bobek Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2024 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2024
Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Ambulatory Surgical)
600 BROADWAY STE 460
SEATTLE, WA 98122
Anesthesiology
600 BROADWAY STE 460, ORTHOPEDICS INTERNATIONAL AMBULATORY SURGERY CENTER
SEATTLE, WA 98122
Clinic/Center (Dental)
600 BROADWAY STE 460
SEATTLE, WA 98122

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 Samuel Bobek's NPI number?

The NPI number for Samuel Bobek is 1720292436. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Samuel Bobek located?

Samuel Bobek practices at 600 Broadway Ste 460, Seattle, WA 98122. The listed phone number is (206) 207-1525.

What is Samuel Bobek's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Samuel Bobek enrolled in Medicare?

No. Samuel Bobek has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samuel Bobek 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, Florida Combined Life and Humana and 3 other insurers list Samuel Bobek 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 Samuel Bobek was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.