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DR. SAIBHARADWAJA KALLURI DDS
NPI 1073404158
Dentist in Woodbury, MN

Active since July 15, 2025PECOS Enrolled
580 WOODBURY DR STE 300, WOODBURY, MN 55125(651) 731-1010 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Saibharadwaja Kalluri Dds NPPES

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

DR. SAIBHARADWAJA KALLURI DDS (NPI 1073404158) is an individual dentist in Woodbury, Minnesota, licensed in Minnesota (D15361) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073404158
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAIBHARADWAJA KALLURICredential: DDS
Location Address580 WOODBURY DR STE 300Woodbury, MN 55125-4949
Mailing Address580 Woodbury Dr Ste 300Woodbury, MN 55125-4949 · (651) 731-1010
Phone(651) 731-1010
Sole ProprietorNo
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1073404158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D15361
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.
580 WOODBURY DR STE 300, Woodbury, MN 55125
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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. Saibharadwaja Kalluri 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 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

DR. ADAM JAMES HILDEBRANDT DDS
Dentist (General Practice)
580 WOODBURY DR STE 300
WOODBURY, MN 55125
Washington County (651) 731-1010
DR. CHRISTOPHER SCHWEIGER DMD
Dentist
580 WOODBURY DR STE 300
WOODBURY, MN 55125
Washington County (651) 731-1010
EMMA LOUWAGIE
Dental Hygienist
580 WOODBURY DR STE 300
WOODBURY, MN 55125
Washington County (651) 731-1010
KELLY SHIN DDS
Dentist (General Practice)
580 WOODBURY DR STE 300
WOODBURY, MN 55125
Washington County (651) 731-1010
AMANDA MARIE KAPETANAKIS DDS
Dentist (General Practice)
580 WOODBURY DR STE 300
WOODBURY, MN 55125
Washington County (651) 731-1010

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 Saibharadwaja Kalluri's NPI number?

The NPI number for Saibharadwaja Kalluri is 1073404158. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Saibharadwaja Kalluri located?

Saibharadwaja Kalluri practices at 580 Woodbury Dr Ste 300, Woodbury, MN 55125. The listed phone number is (651) 731-1010.

What is Saibharadwaja Kalluri's specialty?

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

Is Saibharadwaja Kalluri enrolled in Medicare?

Yes. Saibharadwaja Kalluri is registered in the Medicare PECOS enrollment system.

What insurance does Saibharadwaja Kalluri accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Saibharadwaja Kalluri 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 Saibharadwaja Kalluri was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.