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PRAVEEN KUMAR GAJENDRAREDDY DDS
NPI 1265675680
Dentist - Periodontics in Chicago, IL

Active since April 15, 2009PECOS Enrolled
801 S PAULINA ST, M/C 621, CHICAGO, IL 60612(614) 657-8312 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Praveen Kumar Gajendrareddy Dds NPPES

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

PRAVEEN KUMAR GAJENDRAREDDY DDS (NPI 1265675680) is an individual periodontics provider in Chicago, Illinois, licensed in Illinois (021.002403) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265675680
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NamePRAVEEN KUMAR GAJENDRAREDDYCredential: DDS
Location Address801 S PAULINA ST, M/C 621Chicago, IL 60612-7210
Mailing Address1841 Maine DrElk Grove Village, IL 60007-2728 · (614) 657-8312
Phone(614) 657-8312
Sole ProprietorNo
Enumeration DateApril 15, 2009
Last NPPES UpdateDecember 13, 2011
✔ NPI 1265675680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 021.002403
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
801 S PAULINA ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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)

Praveen Kumar Gajendrareddy 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 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Praveen Kumar Gajendrareddy's NPI number?

The NPI number for Praveen Kumar Gajendrareddy is 1265675680. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Praveen Kumar Gajendrareddy located?

Praveen Kumar Gajendrareddy practices at 801 S Paulina St M/C 621, Chicago, IL 60612. The listed phone number is (614) 657-8312.

What is Praveen Kumar Gajendrareddy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Praveen Kumar Gajendrareddy enrolled in Medicare?

Yes. Praveen Kumar Gajendrareddy is registered in the Medicare PECOS enrollment system.

What insurance does Praveen Kumar Gajendrareddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Praveen Kumar Gajendrareddy 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 Praveen Kumar Gajendrareddy was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.