ADVAITA SUSARLA DDS
NPI 1346756533
Dentist - General Practice in North Charleston, SC

Active since December 26, 2017PECOS Enrolled
5621 RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 641-0143 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Dec 26, 2017 (2 updates tracked since 2017).

About Advaita Susarla Dds NPPES

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

ADVAITA SUSARLA DDS (NPI 1346756533) is an individual general practice provider in North Charleston, South Carolina, licensed in South Carolina (11068) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1346756533
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameADVAITA SUSARLACredential: DDS
Location Address5621 RIVERS AVENorth Charleston, SC 29406-6022
Mailing Address5621 Rivers AveNorth Charleston, SC 29406-6022 · (843) 641-0143
Sole ProprietorNo
Enumeration DateDecember 26, 2017
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1346756533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in SC · 11068 Licensed in TX · 35896
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.
Also ListedDentistTaxonomy 122300000X · License 1001729 (WI)
5621 RIVERS AVE, North Charleston, SC 29406

Secondary Practice Location 1

Location 1821 S Layton BlvdMilwaukee, WI 53215-1225 · Phone (888) 988-4066

Accepted 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)

Advaita Susarla 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 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 4

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

Clinic/Center (Dental)
5621 RIVERS AVE
NORTH CHARLESTON, SC 29406
Dentist (General Practice)
5621 RIVERS AVE
NORTH CHARLESTON, SC 29406
Dentist
5621 RIVERS AVE
NORTH CHARLESTON, SC 29406
Dentist
5621 RIVERS AVE
NORTH CHARLESTON, SC 29406

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 Advaita Susarla's NPI number?

The NPI number for Advaita Susarla is 1346756533. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Advaita Susarla located?

Advaita Susarla practices at 5621 Rivers Ave, North Charleston, SC 29406. The listed phone number is (843) 641-0143.

What is Advaita Susarla's specialty?

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

Is Advaita Susarla enrolled in Medicare?

Yes. Advaita Susarla is registered in the Medicare PECOS enrollment system.

What insurance does Advaita Susarla accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Advaita Susarla 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 Advaita Susarla was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.