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POOJA KRISHNASWAMY DDS
NPI 1205523206
Dentist - General Practice in Marina Del Rey, CA

Active since April 19, 2023PECOS EnrolledAccepts Medicare Assignment
4553 GLENCOE AVE STE 310, MARINA DEL REY, CA 90292(310) 412-9291 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Nov 18, 2024 (2 updates tracked since 2024).

About Pooja Krishnaswamy Dds NPPES

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

POOJA KRISHNASWAMY DDS (NPI 1205523206) is an individual general practice provider in Marina Del Rey, California, licensed in California (DDS110388) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205523206
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePOOJA KRISHNASWAMYCredential: DDS
Location Address4553 GLENCOE AVE STE 310Marina Del Rey, CA 90292-7906
Mailing Address3913 Veneto CirLeander, TX 78641-3720 · (512) 810-8149
Phone(310) 412-9291
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2023
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1205523206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS110388
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4553 GLENCOE AVE STE 310, Marina Del Rey, CA 90292
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooja Krishnaswamy Dds 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 ID1456846989
PECOS Enrollment IDI20251222001459
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.

Medicare Billing Reassignment

Medicare enrollment records show Pooja Krishnaswamy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
3.2 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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.

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 Pooja Krishnaswamy's NPI number?

The NPI number for Pooja Krishnaswamy is 1205523206. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Pooja Krishnaswamy located?

Pooja Krishnaswamy practices at 4553 Glencoe Ave Ste 310, Marina Del Rey, CA 90292. The listed phone number is (310) 412-9291.

What is Pooja Krishnaswamy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Pooja Krishnaswamy enrolled in Medicare?

Yes. Pooja Krishnaswamy 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.

Which organization bills Medicare for Pooja Krishnaswamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Krishnaswamy reassigns Medicare benefits to County Of Los Angeles (Santa Monica, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooja Krishnaswamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pooja Krishnaswamy was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.