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JAMES LELIS DDS, MD
NPI 1740714088
Oral & Maxillofacial Surgery in Healdsburg, CA

Active since April 13, 2017Opted out of Medicare · through Mar 19, 2028
445 MARCH AVE STE B, HEALDSBURG, CA 95448(707) 433-0231 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Lelis Dds, Md NPPES

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

JAMES LELIS DDS, MD (NPI 1740714088) is an individual oral & maxillofacial surgery provider in Healdsburg, California, licensed in California (101931) and active in the NPI registry since April 2017. He has opted out of Medicare through March 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740714088
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJAMES LELISCredential: DDS, MD
Location Address445 MARCH AVE STE BHealdsburg, CA 95448-3383
Mailing Address445 March Ave Ste BHealdsburg, CA 95448-3383
Phone(707) 433-0231
Sole ProprietorNo
Enumeration DateApril 13, 2017
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1740714088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CA · 101931
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.
445 MARCH AVE STE B, Healdsburg, CA 95448
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

James Lelis Dds, 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 March 19, 2024 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2024
Opt-Out In Effect ThroughMarch 19, 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

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

ADAM JOSHUA FARRELL WANDELL DDS, MD
Oral & Maxillofacial Surgery
445 MARCH AVE STE B
HEALDSBURG, CA 95448
Sonoma County (650) 714-3694

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 James Lelis's NPI number?

The NPI number for James Lelis is 1740714088. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is James Lelis located?

James Lelis practices at 445 March Ave Ste B, Healdsburg, CA 95448. The listed phone number is (707) 433-0231.

What is James Lelis's specialty?

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

Is James Lelis enrolled in Medicare?

No. James Lelis has opted out of Medicare through March 19, 2028. 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.

When was this NPI record last updated?

The NPPES record for James Lelis was last updated on March 19, 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.