DR. SAMEH E AZAB DDS
NPI 1730479361
Dentist in Mount Pleasant, WI
About Dr. Sameh E Azab Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMEH E AZAB DDS (NPI 1730479361) is an individual dentist in Mount Pleasant, Wisconsin, licensed in Wisconsin (6706-15) and active in the NPI registry since April 2011. He has opted out of Medicare through June 19, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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. Sameh E Azab Dds 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 June 19, 2017 through June 19, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Sameh Azab's NPI number?
The NPI number for Sameh Azab is 1730479361. It was assigned to this individual provider in the NPPES registry on April 16, 2011.
Where is Sameh Azab located?
Sameh Azab practices at 1101 S Airline Rd, Mount Pleasant, WI 53406. The listed phone number is (262) 637-9371.
What is Sameh Azab's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Sameh Azab enrolled in Medicare?
No. Sameh Azab has opted out of Medicare through June 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Sameh Azab 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 Delta Dental of Wisconsin, Inc. and 3 other insurers list Sameh Azab 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 Sameh Azab was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Sameh E Azab, DDS · NPI 1730479361
Dentist provider in Mount Pleasant, Wisconsin. Individual provider, active in the CMS NPPES registry since April 16, 2011.
## Identity
- **NPI:** 1730479361 (Entity type: Individual)
- **Enumerated:** April 16, 2011
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 6706-15 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 S AIRLINE RD, Mount Pleasant, WI 53406-3888
- **Phone:** (262) 637-9371
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 19, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 9, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1730479361) · Data from the CMS NPPES public registry.