Shahrbanoo Fadavi, D.D.S.,M.S.
NPI 1750461737ActiveIndividual· Dentist, Pediatric Dentistry· Skokie, IL
Dentist, Pediatric Dentistry (D.D.S.,M.S.) in Skokie, Illinois, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - maxillofacial surgery.
Overview
| NPI | 1750461737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S.,M.S. |
| Sole proprietor | No |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Maxillofacial Surgery (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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