KOUROSH YAGHOUBIAN D.D.S
NPI 1811978109
Dentist - General Practice in Bay Shore, NY

Q: What is Kourosh Yaghoubian's NPI number?

The NPI number for Kourosh Yaghoubian is 1811978109. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Q: What is Kourosh Yaghoubian's specialty?

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

Active since November 14, 2005PECOS Enrolled

1745 UNION BLVD, BAY SHORE, NY 11706(631) 968-5995(631) 968-5996 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2016, Mar 17, 2016 (2 updates tracked since 2016).

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About Kourosh Yaghoubian D.d.s NPPES

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

KOUROSH YAGHOUBIAN D.D.S (NPI 1811978109) is an individual general practice provider in Bay Shore, New York, licensed in New York (046171) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811978109

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKOUROSH YAGHOUBIANCredential: D.D.S

Location Address1745 UNION BLVDBay Shore, NY 11706-7937

Mailing Address1745 Union BlvdBay Shore, NY 11706-7937 · (631) 968-5995 · Fax (631) 968-5996

Phone(631) 968-5995

Fax(631) 968-5996

Sole ProprietorNo

Enumeration DateNovember 14, 2005

Last NPPES UpdateApril 1, 20162 updates tracked since enumeration

✔ NPI 1811978109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 046171

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.

1745 UNION BLVD, Bay Shore, NY 11706

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Other Identifiers 1

Medicare UPIN01666839NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Kourosh Yaghoubian D.d.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 11706 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 14

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

KAMRAN SANANDAJI D.D.S

Dentist (General Practice)