SHAHRBANOO FADAVI D.D.S.,M.S.
NPI 1750461737
Dentist - Pediatric Dentistry in Skokie, IL

Active since October 16, 2006PECOS Enrolled
4833 CHURCH ST, 801 S. POLINA, SKOKIE, IL 60077(847) 673-7118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shahrbanoo Fadavi D.d.s.,m.s. NPPES

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

SHAHRBANOO FADAVI D.D.S.,M.S. (NPI 1750461737) is an individual pediatric dentistry provider in Skokie, Illinois and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750461737
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameSHAHRBANOO FADAVICredential: D.D.S.,M.S.
Location Address4833 CHURCH ST, 801 S. POLINASkokie, IL 60077-1357
Mailing Address2429 Meadow Dr NWilmette, IL 60091-2253
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750461737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4833 CHURCH ST, Skokie, IL 60077

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)

Shahrbanoo Fadavi D.d.s.,m.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 60077 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 17

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

Dentist (General Practice)
4833 CHURCH ST
SKOKIE, IL 60077
Dentist (General Practice)
4833 CHURCH ST
SKOKIE, IL 60077
Dentist (Orthodontics and Dentofacial Orthopedics)
4833 CHURCH ST
SKOKIE, IL 60077
Dentist (Oral and Maxillofacial Surgery)
4833 CHURCH ST
SKOKIE, IL 60077
Dentist
4833 CHURCH ST
SKOKIE, IL 60077
Dentist
4833 CHURCH ST
SKOKIE, IL 60077
Dentist
4833 CHURCH ST
SKOKIE, IL 60077
Dentist (General Practice)
4833 CHURCH ST
SKOKIE, IL 60077

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 Shahrbanoo Fadavi's NPI number?

The NPI number for Shahrbanoo Fadavi is 1750461737. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Shahrbanoo Fadavi located?

Shahrbanoo Fadavi practices at 4833 Church St 801 S. Polina, Skokie, IL 60077. The listed phone number is (847) 673-7118.

What is Shahrbanoo Fadavi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Shahrbanoo Fadavi enrolled in Medicare?

Yes. Shahrbanoo Fadavi is registered in the Medicare PECOS enrollment system.

What insurance does Shahrbanoo Fadavi 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, Humana and Renaissance Dental list Shahrbanoo Fadavi 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 Shahrbanoo Fadavi was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.