MARY BADDOUR DDS
NPI 1730630633
Dentist - General Practice in Melbourne, FL

Active since October 17, 2016PECOS Enrolled
2120 SARNO RD, MELBOURNE, FL 32935(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2024, Apr 25, 2022, Aug 29, 2018 and 1 more (4 updates tracked since 2016).

About Mary Baddour Dds NPPES

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

MARY BADDOUR DDS (NPI 1730630633) is an individual general practice provider in Melbourne, Florida, licensed in Florida (DN22332) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730630633
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARY BADDOURCredential: DDS
Location Address2120 SARNO RDMelbourne, FL 32935-3084
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696
Fax(321) 241-6890
Sole ProprietorNo
Enumeration DateOctober 17, 2016
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1730630633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in FL · DN22332 Licensed in NM · DD4616
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2120 SARNO RD, Melbourne, FL 32935

Other Identifiers 1

Medicaid109040300FL

Accepted 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)

Mary Baddour Dds 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 32935 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

Psychologist
2120 SARNO RD
MELBOURNE, FL 32935
Clinic/Center (Federally Qualified Health Center (FQHC))
2120 SARNO RD
MELBOURNE, FL 32935
Dentist (General Practice)
2120 SARNO RD
MELBOURNE, FL 32935
Pediatrics
2120 SARNO RD
MELBOURNE, FL 32935
Social Worker (Clinical)
2120 SARNO RD, SUITE 4
MELBOURNE, FL 32935
General Practice
2120 SARNO RD
MELBOURNE, FL 32935
Nurse Practitioner (Family)
2120 SARNO RD
MELBOURNE, FL 32935
Social Worker (Clinical)
2120 SARNO RD
MELBOURNE, FL 32935

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 Mary Baddour's NPI number?

The NPI number for Mary Baddour is 1730630633. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Mary Baddour located?

Mary Baddour practices at 2120 Sarno Rd, Melbourne, FL 32935. The listed phone number is (321) 241-6800.

What is Mary Baddour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Baddour enrolled in Medicare?

Yes. Mary Baddour is registered in the Medicare PECOS enrollment system.

What insurance does Mary Baddour accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Mary Baddour 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 Mary Baddour was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.