VENKATASUMAN KOPPURAVURI DDS
NPI 1245469618
Dentist - General Practice in Dallas, TX

Q: What is Venkatasuman Koppuravuri's NPI number?

The NPI number for Venkatasuman Koppuravuri is 1245469618. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Q: What is Venkatasuman Koppuravuri's specialty?

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

Active since July 07, 2009PECOS Enrolled

3010 LBJ FWY STE 200, DALLAS, TX 75234(972) 444-8888(972) 243-6059 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Venkatasuman Koppuravuri Dds NPPES

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

VENKATASUMAN KOPPURAVURI DDS (NPI 1245469618) is an individual general practice provider in Dallas, Texas, licensed in South Carolina (10067) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245469618

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameVENKATASUMAN KOPPURAVURICredential: DDS

Location Address3010 LBJ FWY STE 200Dallas, TX 75234-2723

Mailing Address2298 Cherry RoadRock Hill, SC 29732 · (038) 980-7937

Phone(972) 444-8888

Fax(972) 243-6059

Sole ProprietorNo

Enumeration DateJuly 7, 2009

Last NPPES UpdateMay 19, 2023

NPPES CertifiedMay 9, 2023

✔ NPI 1245469618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in SC · 10067✔ Licensed in TX · 24699✔ Licensed in OH · 30.023362✔ Licensed in NC · 10623

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.

3010 LBJ FWY STE 200, Dallas, TX 75234

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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 of North Carolina, Anthem Blue Cross and Blue Shield 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 (PECOS)

Venkatasuman Koppuravuri Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75234 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

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Other Providers at the Same Location NPPES 15

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

DR. MICHELLE DOMINIQUE NELSON DDS

Dentist (General Practice)