DEEPTHI DEVIREDDY DDS
NPI 1033966494
Dentist in Los Angeles, CA

Active since May 03, 2024PECOS Enrolled
8405 BEVERLY BLVD, LOS ANGELES, CA 90048(323) 653-1990 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2025, May 3, 2024 (2 updates tracked since 2024).

About Deepthi Devireddy Dds NPPES

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

DEEPTHI DEVIREDDY DDS (NPI 1033966494) is an individual dentist in Los Angeles, California, licensed in California (DDS111310) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Indiana University School Of Dentistry (2024).

NPPES Registry Identity

NPI1033966494
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDEEPTHI DEVIREDDYCredential: DDS
Location Address8405 BEVERLY BLVDLos Angeles, CA 90048-3401
Mailing Address1837 Santa Ynez StLos Angeles, CA 90026-4111 · (469) 401-9986
Sole ProprietorYes
Medical School CMSIndiana University School Of DentistryGraduated 2024
Enumeration DateMay 3, 2024
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1033966494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · DDS111310
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8405 BEVERLY BLVD, Los Angeles, CA 90048

Secondary Practice Location 1

Location 15205 Melrose AveLos Angeles, CA 90038-3144 · Phone (323) 653-1990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deepthi Devireddy Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719485127
PECOS Enrollment IDI20250813002900
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 90048 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Registered Nurse (Community Health)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Physician Assistant
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Pharmacist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Nurse Practitioner (Acute Care)
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Dentist
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Internal Medicine
8405 BEVERLY BLVD
LOS ANGELES, CA 90048
Registered Nurse
8405 BEVERLY BLVD
LOS ANGELES, CA 90048

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 Deepthi Devireddy's NPI number?

The NPI number for Deepthi Devireddy is 1033966494. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Deepthi Devireddy located?

Deepthi Devireddy practices at 8405 Beverly Blvd, Los Angeles, CA 90048. The listed phone number is (323) 653-1990.

What is Deepthi Devireddy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Deepthi Devireddy enrolled in Medicare?

Yes. Deepthi Devireddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deepthi Devireddy was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.