DR. SOWMYA ANANTHAN DMD
NPI 1235446931
Dentist - Orofacial Pain in Newark, NJ

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
110 BERGEN ST, RECEPTION #12, NEWARK, NJ 07103(973) 972-3418 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sowmya Ananthan Dmd NPPES

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

DR. SOWMYA ANANTHAN DMD (NPI 1235446931) is an individual orofacial pain provider in Newark, New Jersey, licensed in New Jersey (DI24531) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235446931
Entity TypeIndividualFemale
Primary Taxonomy1223X2210X
Provider Legal NameDR. SOWMYA ANANTHANCredential: DMD
Location Address110 BERGEN ST, RECEPTION #12Newark, NJ 07103-2495
Mailing Address110 Bergen St, Reception #12Newark, NJ 07103-2495 · (973) 972-3418
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 2, 2010
Last NPPES UpdateOctober 21, 2019
✔ NPI 1235446931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License✔ Licensed in NJ · DI24531
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentistTaxonomy 122300000X · License DI24531 (NJ)
110 BERGEN ST, Newark, NJ 07103

Accepted Insurance

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

Dr. Sowmya Ananthan Dmd 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 ID5294990966
PECOS Enrollment IDI20120702000222
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 Reassignments

3

Medicare enrollment records show Sowmya Ananthan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dental
110 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
Endodontics
90 BERGEN ST, SUITE 7700
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 21 clinicians in this Medicare group
Dentist
135 SOMERSET STREET, SUITE A
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group

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 07103 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
110 BERGEN ST, C723
NEWARK, NJ 07103
Dentist (General Practice)
110 BERGEN ST, UMDNJ - NEW JERSEY DENTAL SCHOOL
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Dentist (General Practice)
110 BERGEN ST, RM D860
NEWARK, NJ 07103
Dentist (Oral and Maxillofacial Surgery)
110 BERGEN ST, UMDNJ DS C-768
NEWARK, NJ 07103
Dentist
110 BERGEN ST, SUITE 7700
NEWARK, NJ 07103
Dentist (Pediatric Dentistry)
110 BERGEN ST, PEDIATRIC DENTISTRY
NEWARK, NJ 07103

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 Sowmya Ananthan's NPI number?

The NPI number for Sowmya Ananthan is 1235446931. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Sowmya Ananthan located?

Sowmya Ananthan practices at 110 Bergen St Reception #12, Newark, NJ 07103. The listed phone number is (973) 972-3418.

What is Sowmya Ananthan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Sowmya Ananthan enrolled in Medicare?

Yes. Sowmya Ananthan 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 organizations bill Medicare for Sowmya Ananthan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sowmya Ananthan reassigns Medicare benefits to 3 organizations: Rutgers School Of Dental Medicine (Newark, NJ), Rutgers Health -University Dental Associates (Newark, NJ) and Rutgers University Dental Associates-New Brunswick (New Brunswick, NJ). Each 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 Sowmya Ananthan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sowmya Ananthan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Sowmya Ananthan 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 Sowmya Ananthan was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.