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DR. MOHAMED M ELGHANNAM DDS
NPI 1831717180
Dentist - General Practice in Norfolk, VA

Active since July 13, 2020PECOS Enrolled
220 W BRAMBLETON AVE STE 111, NORFOLK, VA 23510(757) 583-1536(757) 583-3470 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2022, Jul 13, 2020 (2 updates tracked since 2020).

About Dr. Mohamed M Elghannam Dds NPPES

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

DR. MOHAMED M ELGHANNAM DDS (NPI 1831717180) is an individual general practice provider in Norfolk, Virginia, licensed in Virginia (0401417740) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831717180
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MOHAMED M ELGHANNAMCredential: DDS
Location Address220 W BRAMBLETON AVE STE 111Norfolk, VA 23510-1571
Mailing Address220 W Brambleton Ave Ste 111Norfolk, VA 23510-1571 · (757) 583-1536 · Fax (757) 583-3470
Phone(757) 583-1536
Fax(757) 583-3470
Sole ProprietorYes
Enumeration DateJuly 13, 2020
Last NPPES UpdateMarch 6, 20222 updates tracked since enumeration
NPPES CertifiedMarch 6, 2022
✔ NPI 1831717180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401417740
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.
220 W BRAMBLETON AVE STE 111, Norfolk, VA 23510
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed M Elghannam Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Mohamed Elghannam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elghannam Dental LLC
136 mi
General Practice
4421 DALE BLVD STE 202
Woodbridge, VA 22193
  • Reassigned Medicare billing, Virginia enrollment
NPI 1164234910 (615) 499-0438

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23510 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 Mohamed Elghannam's NPI number?

The NPI number for Mohamed Elghannam is 1831717180. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Mohamed Elghannam located?

Mohamed Elghannam practices at 220 W Brambleton Ave Ste 111, Norfolk, VA 23510. The listed phone number is (757) 583-1536.

What is Mohamed Elghannam's specialty?

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

Is Mohamed Elghannam enrolled in Medicare?

Yes. Mohamed Elghannam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohamed Elghannam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Elghannam reassigns Medicare benefits to Elghannam Dental LLC (Woodbridge, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mohamed Elghannam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Elghannam 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 Florida Combined Life and 12 other insurers list Mohamed Elghannam 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 Mohamed Elghannam was last updated on March 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.