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DIVYA REDDY PEDDIREDDY D.D.S
NPI 1356782080
Dentist - Oral and Maxillofacial Surgery in Costa Mesa, CA

Active since July 10, 2013PECOS Enrolled
3070 BRISTOL ST STE 180, COSTA MESA, CA 92626(714) 924-4824 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divya Reddy Peddireddy D.d.s NPPES

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

DIVYA REDDY PEDDIREDDY D.D.S (NPI 1356782080) is an individual oral and maxillofacial surgery provider in Costa Mesa, California, licensed in California (DDS62530) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356782080
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDIVYA REDDY PEDDIREDDYCredential: D.D.S
Location Address3070 BRISTOL ST STE 180Costa Mesa, CA 92626-3072
Mailing Address184 Stonecliffe AisleIrvine, CA 92603-5715
Phone(714) 924-4824
Sole ProprietorNo
Enumeration DateJuly 10, 2013
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1356782080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · DDS62530
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DDS62530 (CA)
3070 BRISTOL ST STE 180, Costa Mesa, CA 92626
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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)

Divya Reddy Peddireddy D.d.s 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 92626 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DIVYA PEDDIREDDY DENTAL CORPORATION
Clinic/Center (Dental)
3070 BRISTOL ST STE 180
COSTA MESA, CA 92626
Orange County (714) 924-4824

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 Divya Peddireddy's NPI number?

The NPI number for Divya Peddireddy is 1356782080. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Divya Peddireddy located?

Divya Peddireddy practices at 3070 Bristol St Ste 180, Costa Mesa, CA 92626. The listed phone number is (714) 924-4824.

What is Divya Peddireddy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Divya Peddireddy enrolled in Medicare?

Yes. Divya Peddireddy is registered in the Medicare PECOS enrollment system.

What insurance does Divya Peddireddy 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 Divya Peddireddy 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 Divya Peddireddy was last updated on February 14, 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.