Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Callahan, MPHDMDMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1083920227

Dr. Nicholas Callahan, MPHDMDMD is a Maxillofacial Surgery in Chicago, Illinois. Graduated from State University of New York Downstate Medical Center in 2013, 13 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Trained at
State University of New York Downstate Medical Center
Licensed in
IL
In the registry since
2010
Specialties on file
6
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Practice location Address checks out

801 S Paulina St
Chicago, IL 60612
Phone: (312) 413-2379
Fax: (312) 996-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 451 Clarkson Ave, Brooklyn, NY 11203-2054 — (718) 245-4914

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 036147058 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 019031599 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 021102880 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 036147058 (IL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 019031599 (IL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 021002880 (IL)

Record details

NPI number1083920227
Entity typeIndividual (Type 1)
GenderMale
Credentials MPHDMDMD
Sole proprietorNo
NPI enumeratedAugust 25, 2010
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2013 (13 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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