Maher Jandali Rifai, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1857164 Issued in MA

Practice address

10 West Martin Ave
Suite 164
Naperville, IL 60540-1334

Phone

(630) 961-5151

NPI assigned

Aug 5, 2008

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 21, 2020 through Sep 21, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joms LLC

  dba Oral and Facial Surgery of Naperville

  • Oral and Maxillofacial Surgery Clinic/Center
  • Naperville, IL
  • NPI 1528543121
  NPD Authorized official
• Nowell E. Blecha LTD DDS

  • Dental Clinic/Center
  • Naperville, IL
  • NPI 1215109160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1710143177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST MARTIN AVE",
            "address_2": "SUITE 164",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401334",
            "telephone_number": "630-961-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST MARTIN AVE",
            "address_2": "SUITE 164",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401334",
            "telephone_number": "630-961-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Bartlett St",
            "address_2": "Suite 405",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521334",
            "country_code": "US",
            "telephone_number": "978-458-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFAI",
        "first_name": "MAHER",
        "middle_name": "JANDALI",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1857164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S400301731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah G Ridenour, LCSW
• Florencia A Rider, P.T.
• Todd Riefenberg
• Jenna Ann Riem
• Kevin John Rieser, MA CCCA
• John Allan Rigali, M.D.
• Kevin Brian Riggs, PA-C, MPAS
• Right Start Pediatric Therapies, Inc.
• Lars Rikardsen, M.D.
• Susan Marie Riley, LCPC

• Oral and Maxillofacial Surgery (Dentist) in Naperville, IL
• Providers in Naperville, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.