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DEEPTHI LAKSHMI PENTA MD
NPI 1235698184
Anesthesiology in Philadelphia, PA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST STE 8280, PHILADELPHIA, PA 19107(215) 955-6161 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Deepthi Lakshmi Penta Md NPPES

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

DEEPTHI LAKSHMI PENTA MD (NPI 1235698184) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in California (FP99277990) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235698184
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDEEPTHI LAKSHMI PENTACredential: MD
Location Address111 S 11TH ST STE 8280Philadelphia, PA 19107-4824
Mailing Address401 Race St Apt 441Philadelphia, PA 19106-1032 · (201) 486-7048
Phone(215) 955-6161
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1235698184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · FP99277990
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
111 S 11TH ST STE 8280, Philadelphia, PA 19107
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Secondary Practice Location 1

Location 14150 V StSacramento, CA 95817-1460 · Phone (916) 734-5028

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

Deepthi Lakshmi Penta 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 ID5294108387
PECOS Enrollment IDI20240624001119
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 Deepthi Penta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca
2,379 mi
Urogynecology and Reconstructive Pelvic Surgery
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1285068783 (916) 734-6483

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

Other Providers at the Same Location NPPES

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

NICOLE KHETANI
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8280
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370

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 Deepthi Penta's NPI number?

The NPI number for Deepthi Penta is 1235698184. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Deepthi Penta located?

Deepthi Penta practices at 111 S 11th St Ste 8280, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.

What is Deepthi Penta's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Deepthi Penta enrolled in Medicare?

Yes. Deepthi Penta 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 Deepthi Penta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deepthi Penta reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, 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 Deepthi Penta'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 Deepthi Penta was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.