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MAMATHA CHENEPALLI DMD
NPI 1225295009
Dentist in Des Moines, WA

Active since May 20, 2008PECOS Enrolled
26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198(425) 277-1311 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 27, 2024, Mar 24, 2021, Mar 4, 2021 (3 updates tracked since 2021).

About Mamatha Chenepalli Dmd NPPES

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

MAMATHA CHENEPALLI DMD (NPI 1225295009) is an individual dentist in Des Moines, Washington, licensed in Washington (DE00009662) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1225295009
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMAMATHA CHENEPALLICredential: DMD
Location Address26401 PACIFIC HWY S STE 101Des Moines, WA 98198-9247
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Phone(425) 277-1311
Sole ProprietorNo
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1225295009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE00009662
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.
26401 PACIFIC HWY S STE 101, Des Moines, WA 98198
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Secondary Practice Location 1

Location 122625 Pacific Hwy SDes Moines, WA 98198-5110 · Phone (206) 878-5665 · Fax (206) 870-1504

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamatha Chenepalli Dmd 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.

Medicare Billing Reassignment

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

Healthpoint
Same address
Federally Qualified Health Center (FQHC)
26401 PACIFIC HWY S., SUITE 101
Des Moines, WA 98198
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group
NPI 1922351527 (206) 870-3590

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 98198 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 20

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

DR. KENDALL C SHIBUYA DO
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
JESSICA LU MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (425) 277-1311
CRYSTAL JEAN HUA
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (425) 277-1311
DIANE D QI MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
AMIR REZAYAT MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
ANN LIN MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
INJUNE HANSIE WONG M.D.
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
SHELLEY HADIZA WEST ARNP
Nurse Practitioner
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590

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 Mamatha Chenepalli's NPI number?

The NPI number for Mamatha Chenepalli is 1225295009. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Mamatha Chenepalli located?

Mamatha Chenepalli practices at 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198. The listed phone number is (425) 277-1311.

What is Mamatha Chenepalli's specialty?

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

Is Mamatha Chenepalli enrolled in Medicare?

Yes. Mamatha Chenepalli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mamatha Chenepalli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamatha Chenepalli reassigns Medicare benefits to Healthpoint (Des Moines, WA). 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 Mamatha Chenepalli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamatha Chenepalli 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 5 other insurers list Mamatha Chenepalli 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 Mamatha Chenepalli was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.