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DR. MAMDOUH ALRATA DDS
NPI 1902321367
Dentist in Washington, MO

Active since August 07, 2017PECOS Enrolled
3155 PHOENIX CENTER DR, WASHINGTON, MO 63090(630) 550-7406 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Feb 26, 2021, Aug 7, 2017 (3 updates tracked since 2017).

About Dr. Mamdouh Alrata Dds NPPES

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

DR. MAMDOUH ALRATA DDS (NPI 1902321367) is an individual dentist in Washington, Missouri, licensed in Missouri (2020037677) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902321367
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MAMDOUH ALRATACredential: DDS
Location Address3155 PHOENIX CENTER DRWashington, MO 63090-5689
Mailing Address736 Carman Meadows DrManchester, MO 63021-7100 · (630) 550-7406
Phone(630) 550-7406
Sole ProprietorYes
Enumeration DateAugust 7, 2017
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1902321367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2020037677✔ Licensed in WA · DE60694174
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.
3155 PHOENIX CENTER DR, Washington, MO 63090
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mamdouh Alrata 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 4

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

CHANDI DDS LLC
Dentist (General Practice)
3155 PHOENIX CENTER DR
WASHINGTON, MO 63090
Franklin County (636) 431-2021
KHATRI DENTAL GROUP LLC
Dentist (General Practice)
3155 PHOENIX CENTER DR
WASHINGTON, MO 63090
Franklin County (636) 431-2025
DR. FELICIA DESAI DMD
Dentist (General Practice)
3155 PHOENIX CENTER DR
WASHINGTON, MO 63090
Franklin County (636) 431-2025
DR. JYOTHIRMAI TALASILA
Dentist (General Practice)
3155 PHOENIX CENTER DR
WASHINGTON, MO 63090
Franklin County (636) 223-4393

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 Mamdouh Alrata's NPI number?

The NPI number for Mamdouh Alrata is 1902321367. It was assigned to this individual provider in the NPPES registry on August 7, 2017.

Where is Mamdouh Alrata located?

Mamdouh Alrata practices at 3155 Phoenix Center Dr, Washington, MO 63090. The listed phone number is (630) 550-7406.

What is Mamdouh Alrata's specialty?

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

Is Mamdouh Alrata enrolled in Medicare?

Yes. Mamdouh Alrata is registered in the Medicare PECOS enrollment system.

What insurance does Mamdouh Alrata 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 DentaQuest Insurance Company-MO and 9 other insurers list Mamdouh Alrata 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 Mamdouh Alrata was last updated on February 1, 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.