DR. IDA KHOBAHY DDS
NPI 1972941201
Dentist in Cornelius, OR

Q: What is Ida Khobahy's NPI number?

The NPI number for Ida Khobahy is 1972941201. It was assigned to this individual provider in the NPPES registry on June 9, 2013.

Q: What is Ida Khobahy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ida Khobahy was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 09, 2013PECOS Enrolled

44 N 11TH AVE, CORNELIUS, OR 97113(503) 359-8505(503) 359-8535 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2016, Dec 9, 2015 (2 updates tracked since 2015).

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About Dr. Ida Khobahy Dds NPPES

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

DR. IDA KHOBAHY DDS (NPI 1972941201) is an individual dentist in Cornelius, Oregon, licensed in Oregon (D10260) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972941201

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. IDA KHOBAHYCredential: DDS

Location Address44 N 11TH AVECornelius, OR 97113-9020

Mailing AddressPo Box 568Cornelius, OR 97113-0568 · (503) 352-8657 · Fax (503) 352-8658

Phone(503) 359-8505

Fax(503) 359-8535

Sole ProprietorNo

Enumeration DateJune 9, 2013

Last NPPES UpdateOctober 12, 20162 updates tracked since enumeration

✔ NPI 1972941201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D10260

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.

44 N 11TH AVE, Cornelius, OR 97113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Ida Khobahy 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 97113 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 14

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

DEBORAH L RUTT DMD

Dentist (General Practice)