DR. KUMARRAGHAVACHOWDARY ANNAM DDS
NPI 1114379179
Dentist in Marion, OH

Active since July 01, 2016PECOS Enrolled
161 JAMES WAY, MARION, OH 43302(740) 692-7100 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 21, 2022, Jul 1, 2016 (2 updates tracked since 2016).

About Dr. Kumarraghavachowdary Annam Dds NPPES

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

DR. KUMARRAGHAVACHOWDARY ANNAM DDS (NPI 1114379179) is an individual dentist in Marion, Ohio, licensed in Ohio (30.24827) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114379179
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KUMARRAGHAVACHOWDARY ANNAMCredential: DDS
Location Address161 JAMES WAYMarion, OH 43302-5892
Mailing Address161 James WayMarion, OH 43302-5892 · (740) 692-7100
Sole ProprietorNo
Enumeration DateJuly 1, 2016
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1114379179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 30.24827
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.

161 JAMES WAY, Marion, OH 43302

Accepted 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. Kumarraghavachowdary Annam 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 43302 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Dentist
161 JAMES WAY
MARION, OH 43302
Dentist (General Practice)
161 JAMES WAY
MARION, OH 43302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114379179, enumerated as an "individual" on July 01, 2016.

The provider is located at 161 JAMES WAY MARION, OH 43302 and the phone number is (740) 692-7100.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.