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DR. SANDEEP V PATHAK DMD, MD
NPI 1144239203
Dentist - Oral and Maxillofacial Surgery in Lawrenceville, GA

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
745 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045(770) 962-9515(770) 962-2722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sandeep V Pathak Dmd, Md NPPES

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

DR. SANDEEP V PATHAK DMD, MD (NPI 1144239203) is an individual oral and maxillofacial surgery provider in Lawrenceville, Georgia, licensed in Georgia (057140) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of University Of Texas Medical School At Houston (2003).

NPPES Registry Identity

NPI1144239203
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SANDEEP V PATHAKCredential: DMD, MD
Location Address745 OLD NORCROSS RDLawrenceville, GA 30045-4317
Mailing Address745 Old Norcross RdLawrenceville, GA 30045-4317 · (770) 962-9515 · Fax (770) 962-2722
Phone(770) 962-9515
Fax(770) 962-2722
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2003
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144239203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in GA · 057140
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
745 OLD NORCROSS RD, Lawrenceville, GA 30045
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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 Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Sandeep V Pathak Dmd, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638178619
PECOS Enrollment IDI20061221000119
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 3

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

DR. ROBERT E ELLIS DDS
Dentist (Oral and Maxillofacial Surgery)
745 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 962-9515
DR. JESS A GARDNER DMD, MD
Dentist (Oral and Maxillofacial Surgery)
745 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 962-9515
ORAL AND FACIAL SURGERY ASSOCIATES, PC
Oral & Maxillofacial Surgery
745 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 962-9515

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 Sandeep Pathak's NPI number?

The NPI number for Sandeep Pathak is 1144239203. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Sandeep Pathak located?

Sandeep Pathak practices at 745 Old Norcross Rd, Lawrenceville, GA 30045. The listed phone number is (770) 962-9515.

What is Sandeep Pathak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sandeep Pathak enrolled in Medicare?

Yes. Sandeep Pathak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandeep Pathak accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Sandeep Pathak 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.

Is Sandeep Pathak affiliated with any hospitals?

According to CMS data, Sandeep Pathak is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Pathak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.