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DR. SAMIR BALANEY D.D.S.
NPI 1821319450
Dentist in Berwyn, IL

Active since June 17, 2010Opted out of Medicare · through Sep 25, 2027
6301 WEST CERMAK, BERWYN, IL 60402(708) 956-7516 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samir Balaney D.d.s. NPPES

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

DR. SAMIR BALANEY D.D.S. (NPI 1821319450) is an individual dentist in Berwyn, Illinois, licensed in Illinois (019028291) and active in the NPI registry since June 2010. He has opted out of Medicare through September 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821319450
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMIR BALANEYCredential: D.D.S.
Location Address6301 WEST CERMAKBerwyn, IL 60402-2368
Mailing Address1255 South State St, #1902Chicago, IL 60605-1932 · (630) 915-4046
Phone(708) 956-7516
Sole ProprietorYes
Enumeration DateJune 17, 2010
✔ NPI 1821319450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028291
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6301 WEST CERMAK, Berwyn, IL 60402
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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 Alabama and more.Insurance ›

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

Dr. Samir Balaney D.d.s. 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 September 25, 2015 through September 25, 2027.

Opt-Out Effective DateSeptember 25, 2015
Opt-Out In Effect ThroughSeptember 25, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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.

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 Samir Balaney's NPI number?

The NPI number for Samir Balaney is 1821319450. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Samir Balaney located?

Samir Balaney practices at 6301 West Cermak, Berwyn, IL 60402. The listed phone number is (708) 956-7516.

What is Samir Balaney's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Samir Balaney enrolled in Medicare?

No. Samir Balaney has opted out of Medicare through September 25, 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 Samir Balaney 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 7 other insurers list Samir Balaney 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 Samir Balaney was last updated on June 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.