DR. KEITH MELLOVITZ (DDS) – Dentist, NPI 1205902194

DR. KEITH MELLOVITZ (DDS) is a healthcare provider. based in Highland park, Illinois. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 019.017241 (IL). The NPI Number for DR. KEITH MELLOVITZ (DDS) is 1205902194

Main info

Male
Name
DR. KEITH MELLOVITZ (DDS)
NPI
1205902194
Phone
(847) 433-9350
Address
1893 SHERIDAN ROAD
Enumeration Date
24 November 2006
Last Update Date
26 March 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. KEITH MELLOVITZ (DDS)

  • 1893 SHERIDAN ROAD

    SUITE 318

    HIGHLAND PARK, IL 60035

    Phone: (847) 433-9350

    Fax: (847) 433-9355

    Type: Mailing

  • 1893, Sheridan Road, Downtown Highland Park, Highland Park, Lake County, Illinois, 60035, United States

    SUITE 318

    HIGHLAND PARK, IL 60035

    Phone: (847) 433-9350

    Fax: (847) 433-9355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Coltene Whaledent Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Coltene Whaledent Inc.$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60035)

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Reviews

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Frequently asked questions

Can I verify DR. KEITH MELLOVITZ (DDS) with an NPI only?
You can start verification with NPI 1205902194 for DR. KEITH MELLOVITZ (DDS), then check state licensing separately.
Can I rely on DR. KEITH MELLOVITZ (DDS) being an active provider?
As of the registry snapshot, DR. KEITH MELLOVITZ (DDS) is marked active.
What is DR. KEITH MELLOVITZ (DDS) best known for clinically?
Directory data describes DR. KEITH MELLOVITZ (DDS) with Dentist. Clinical services aligned with this taxonomy classification.
Does DR. KEITH MELLOVITZ (DDS) list a practice location?
Patients near Highland Park, Illinois may find DR. KEITH MELLOVITZ (DDS) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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