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KETAN S BEDMUTHA DMD
NPI 1851896286
Dentist - General Practice in Chicago, IL

Active since March 27, 2018PECOS Enrolled
1950 W CERMAK RD, CHICAGO, IL 60608(773) 376-2777 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2021, Mar 27, 2018 (2 updates tracked since 2018).

About Ketan S Bedmutha Dmd NPPES

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

KETAN S BEDMUTHA DMD (NPI 1851896286) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.032066) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851896286
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKETAN S BEDMUTHACredential: DMD
Location Address1950 W CERMAK RDChicago, IL 60608-4204
Mailing Address601 W Jackson Blvd Unit 1404Chicago, IL 60661-5642 · (716) 725-1593
Phone(773) 376-2777
Sole ProprietorYes
Enumeration DateMarch 27, 2018
Last NPPES UpdateApril 24, 20212 updates tracked since enumeration
NPPES CertifiedApril 24, 2021
✔ NPI 1851896286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.032066
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.
1950 W CERMAK RD, Chicago, IL 60608
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 Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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)

Ketan S Bedmutha Dmd 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 60608 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 10

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

DR. OLNA HANNA SZEKELY D.M.D.
Dentist (General Practice)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 627-4602
HEALTHPLUS CHICAGO LTD
Internal Medicine
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 857-9680
DR. DARSHANA SUBBARAJU NOVICK D.D.S
Dentist (Orthodontics and Dentofacial Orthopedics)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 376-2777
NANDINI SUBBARAJU
Dentist
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 376-2777
NOVICK ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 277-3636
DR. NANDINI TUMKUR SUBBARAJU D.D.S
Dentist (General Practice)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 376-2777
DR. SEJAL D SHAH D.D.S
Dentist (General Practice)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 376-2777
DR. CHEPPUDIRA NANJAPPA DEVAYYA DDS
Dentist (General Practice)
1950 W CERMAK RD
CHICAGO, IL 60608
Cook County (773) 376-2777

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 Ketan Bedmutha's NPI number?

The NPI number for Ketan Bedmutha is 1851896286. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Ketan Bedmutha located?

Ketan Bedmutha practices at 1950 W Cermak Rd, Chicago, IL 60608. The listed phone number is (773) 376-2777.

What is Ketan Bedmutha's specialty?

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

Is Ketan Bedmutha enrolled in Medicare?

Yes. Ketan Bedmutha is registered in the Medicare PECOS enrollment system.

What insurance does Ketan Bedmutha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Montana and 7 other insurers list Ketan Bedmutha 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 Ketan Bedmutha was last updated on April 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.