DR. AISHWARYA SURENDRA KUDAV
NPI 1073289864
Dentist in Fresno, CA

Q: What is Aishwarya Kudav's NPI number?

The NPI number for Aishwarya Kudav is 1073289864. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Q: What is Aishwarya Kudav's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Aishwarya Kudav was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since August 20, 2021PECOS Enrolled

3875 W BEECHWOOD AVE, FRESNO, CA 93711(800) 492-4227 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, Aug 20, 2021 (2 updates tracked since 2021).

On this page

About Dr. Aishwarya Surendra Kudav NPPES

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

DR. AISHWARYA SURENDRA KUDAV (NPI 1073289864) is an individual dentist in Fresno, California, licensed in California (108702) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073289864

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. AISHWARYA SURENDRA KUDAV

Location Address3875 W BEECHWOOD AVEFresno, CA 93711-0795

Mailing Address3875 W Beechwood AveFresno, CA 93711-0795 · (800) 492-4227

Phone(800) 492-4227

Sole ProprietorNo

Enumeration DateAugust 20, 2021

Last NPPES UpdateJune 7, 20232 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1073289864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in CA · 108702✔ Licensed in IL · 019.033386

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.

3875 W BEECHWOOD AVE, Fresno, CA 93711

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Aishwarya Surendra Kudav 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 93711 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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 17

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

ALVIN SUN MD

Student in an Organized Health Care Education/Training Program