Ramin A. Medhat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

6011 N Milwaukee Ave
Chicago, IL 60646-4709

Phone

(773) 774-4611

Fax

(773) 774-3973

NPI assigned

Feb 8, 2007

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

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

Yes, effective Dec 29, 2015 through Dec 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Medhat Dental Excellence and Associates

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1376683086
  NPD (past) Authorized official
• Medhat Dental, LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1669761482
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932249638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464709",
            "telephone_number": "773-774-4611",
            "fax_number": "773-774-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464709",
            "telephone_number": "773-774-4611",
            "fax_number": "773-774-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDHAT",
        "first_name": "RAMIN",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medex Home Healthcare Incorporated
• Medforce Solutions, LLC.
• Douglas Scott Medgyesi, PSY.D.
• Medhat Dental Excellence and Associates
• Medhat Dental, LLC
• Medi Ray Portable Inc
• Medi-Ray Portable, Inc
• Jameela Media, MD
• Rashaud K Media
• Medical Advocate Healthcare Services Corp

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.