DR. SHRUTHI Y BANNENAHALLY DDS
NPI 1023258746
Dentist - General Practice in Blythewood, SC

Q: What is Shruthi Bannenahally's NPI number?

The NPI number for Shruthi Bannenahally is 1023258746. It was assigned to this individual provider in the NPPES registry on February 21, 2009.

Q: What is Shruthi Bannenahally's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 21, 2009PECOS Enrolled

213 MAIN ST, BLYTHEWOOD, SC 29016(803) 753-9545 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Shruthi Y Bannenahally Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHRUTHI Y BANNENAHALLY DDS (NPI 1023258746) is an individual general practice provider in Blythewood, South Carolina, licensed in South Carolina (8707) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023258746

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHRUTHI Y BANNENAHALLYCredential: DDS

Location Address213 MAIN STBlythewood, SC 29016-8504

Mailing Address517 Palm Sedge Loop # A-5Elgin, SC 29045-8007 · (407) 687-3470

Phone(803) 753-9545

Sole ProprietorNo

Enumeration DateFebruary 21, 2009

Last NPPES UpdateJanuary 21, 2026

NPPES CertifiedJanuary 21, 2026

✔ NPI 1023258746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 8707

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

213 MAIN ST, Blythewood, SC 29016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shruthi Y Bannenahally Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shruthi Bannenahally's NPI number?

The NPI number for Shruthi Bannenahally is 1023258746. It was assigned to this individual provider in the NPPES registry on February 21, 2009.

Where is Shruthi Bannenahally located?

Shruthi Bannenahally practices at 213 Main St, Blythewood, SC 29016. The listed phone number is (803) 753-9545.

What is Shruthi Bannenahally's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shruthi Bannenahally enrolled in Medicare?

Yes. Shruthi Bannenahally is registered in the Medicare PECOS enrollment system.

What insurance does Shruthi Bannenahally accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Shruthi Bannenahally as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shruthi Bannenahally was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.