DR. SIRISHA MUNIMADUGU BDS
NPI 1285146589
Dentist - Periodontics in Dallas, TX

Q: What is Sirisha Munimadugu's NPI number?

The NPI number for Sirisha Munimadugu is 1285146589. It was assigned to this individual provider in the NPPES registry on October 26, 2017. The provider is also known as Dr. Sirisha Munimadugu.

Q: What is Sirisha Munimadugu's specialty?

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

Active since October 26, 2017PECOS Enrolled

3302 GASTON AVE, DALLAS, TX 75246(214) 828-8100 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2022, Oct 26, 2017 (2 updates tracked since 2017).

On this page

About Dr. Sirisha Munimadugu Bds NPPES

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

DR. SIRISHA MUNIMADUGU BDS (NPI 1285146589) is an individual periodontics provider in Dallas, Texas, licensed in Washington (DE60951176) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285146589

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. SIRISHA MUNIMADUGUCredential: BDS

Location Address3302 GASTON AVEDallas, TX 75246-2013

Mailing Address4603 158th Ave SeBellevue, WA 98006-3251 · (408) 431-5168

Phone(214) 828-8100

Sole ProprietorNo

Enumeration DateOctober 26, 2017

Last NPPES UpdateApril 29, 20222 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1285146589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in WA · DE60951176✔ Licensed in TX · 32775

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.

3302 GASTON AVE, Dallas, TX 75246

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Sirisha Munimadugu

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 Alabama 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. Sirisha Munimadugu Bds 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 75246 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.

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.

BRIANNA TREY CALABRIA

Dentist (General Practice)