DR. SHAHIN GHOBADI D.M.D
NPI 1902011497
Dentist - Oral and Maxillofacial Surgery in Mamaroneck, NY

Active since May 10, 2007Opted out of Medicare · through Apr 22, 2028
1600 HARRISON AVE, STE 101, MAMARONECK, NY 10543(914) 698-4090(914) 698-2195 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shahin Ghobadi D.m.d NPPES

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

DR. SHAHIN GHOBADI D.M.D (NPI 1902011497) is an individual oral and maxillofacial surgery provider in Mamaroneck, New York, licensed in New York (053865) and active in the NPI registry since May 2007. He has opted out of Medicare through April 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902011497
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SHAHIN GHOBADICredential: D.M.D
Location Address1600 HARRISON AVE, STE 101Mamaroneck, NY 10543
Mailing Address1600 Harrison Ave., Ste 101Mamaroneck, NY 10543 · (914) 698-4090 · Fax (914) 698-2195
Fax(914) 698-2195
Sole ProprietorYes
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 21, 2016
NPI 1902011497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 053865
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 22DI02332400 (NJ)
1600 HARRISON AVE, Mamaroneck, NY 10543

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. Shahin Ghobadi D.m.d 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 April 22, 2016 through April 22, 2028.

Opt-Out Effective DateApril 22, 2016
Opt-Out In Effect ThroughApril 22, 2028Opt-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 10543 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 20

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

Otolaryngology
1600 HARRISON AVE, SUITE G104
MAMARONECK, NY 10543
Pediatrics
1600 HARRISON AVE, SUITE #205
MAMARONECK, NY 10543
Psychiatry & Neurology (Psychiatry)
1600 HARRISON AVE, SUITE 105A
MAMARONECK, NY 10543
Chiropractor
1600 HARRISON AVE, SUITE 104
MAMARONECK, NY 10543
Psychologist
1600 HARRISON AVE, STE G105A-2
MAMARONECK, NY 10543
Allergy & Immunology (Allergy)
1600 HARRISON AVE, STE 304
MAMARONECK, NY 10543
Nurse Practitioner (Psychiatric/Mental Health)
1600 HARRISON AVE, SUITE 302
MAMARONECK, NY 10543
Psychiatry & Neurology (Psychiatry)
1600 HARRISON AVE, SUITE 105A
MAMARONECK, NY 10543

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 Shahin Ghobadi's NPI number?

The NPI number for Shahin Ghobadi is 1902011497. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Shahin Ghobadi located?

Shahin Ghobadi practices at 1600 Harrison Ave Ste 101, Mamaroneck, NY 10543. The listed phone number is (914) 698-4090.

What is Shahin Ghobadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Shahin Ghobadi enrolled in Medicare?

No. Shahin Ghobadi has opted out of Medicare through April 22, 2028. 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 Shahin Ghobadi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shahin Ghobadi 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 Shahin Ghobadi was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.