DR. GHASSAN SOURI D.D.S.
NPI 1831110006
Dentist - General Practice in Chicago, IL
About Dr. Ghassan Souri D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GHASSAN SOURI D.D.S. (NPI 1831110006) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019022067) and active in the NPI registry since July 2006. He has opted out of Medicare through September 25, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ghassan Souri 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60647
CHICAGO, IL 60647
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 Ghassan Souri's NPI number?
The NPI number for Ghassan Souri is 1831110006. It was assigned to this individual provider in the NPPES registry on July 22, 2006.
Where is Ghassan Souri located?
Ghassan Souri practices at 2750 W North Ave, Chicago, IL 60647. The listed phone number is (312) 432-4541.
What is Ghassan Souri's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ghassan Souri enrolled in Medicare?
No. Ghassan Souri 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 Ghassan Souri accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Ghassan Souri 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 Ghassan Souri was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Ghassan Souri, D.D.S. · NPI 1831110006
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1831110006 (Entity type: Individual)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 019022067 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2750 W NORTH AVE, Chicago, IL 60647-5247
- **Phone:** (312) 432-4541 · **Fax:** (773) 342-3204
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 25, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 6, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1831110006) · Data from the CMS NPPES public registry.