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DR. MADHAVI KARNAM
NPI 1245562966
Dentist in Wilmington, DE

Active since February 05, 2010PECOS Enrolled
5500 SKYLINE DR STE 2, WILMINGTON, DE 19808(302) 239-8586 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, Mar 17, 2018, Nov 3, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Madhavi Karnam NPPES

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

DR. MADHAVI KARNAM (NPI 1245562966) is an individual dentist in Wilmington, Delaware, licensed in Delaware (G10001399) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245562966
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MADHAVI KARNAM
Location Address5500 SKYLINE DR STE 2Wilmington, DE 19808-1772
Mailing Address1277 Highspire RdRomansville, PA 19320-4796
Phone(302) 239-8586
Sole ProprietorNo
Enumeration DateFebruary 5, 2010
Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1245562966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in DE · G10001399✔ Licensed in PA · DS038151
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.
5500 SKYLINE DR STE 2, Wilmington, DE 19808
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhavi Karnam 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 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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

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

SKYLINE HEALTHY SMILES FAMILY DENTAL PA
Clinic/Center (Dental)
5500 SKYLINE DR STE 2
WILMINGTON, DE 19808
New Castle County (267) 421-2073

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 Madhavi Karnam's NPI number?

The NPI number for Madhavi Karnam is 1245562966. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Madhavi Karnam located?

Madhavi Karnam practices at 5500 Skyline Dr Ste 2, Wilmington, DE 19808. The listed phone number is (302) 239-8586.

What is Madhavi Karnam's specialty?

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

Is Madhavi Karnam enrolled in Medicare?

Yes. Madhavi Karnam is registered in the Medicare PECOS enrollment system.

What insurance does Madhavi Karnam 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 6 other insurers list Madhavi Karnam 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 Madhavi Karnam was last updated on July 26, 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.