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MR. KISHAN MARK THADIKONDA MD
NPI 1366977175
Plastic Surgery in Pittsburgh, PA

Active since April 30, 2017PECOS EnrolledAccepts Medicare Assignment
320 E NORTH AVE STE 401, PITTSBURGH, PA 15212(412) 359-4352 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 1, 2024, Apr 30, 2017 (2 updates tracked since 2017).

About Mr. Kishan Mark Thadikonda Md NPPES

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

MR. KISHAN MARK THADIKONDA MD (NPI 1366977175) is an individual plastic surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD480485) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (2017).

NPPES Registry Identity

NPI1366977175
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. KISHAN MARK THADIKONDACredential: MD
Location Address320 E NORTH AVE STE 401Pittsburgh, PA 15212-4756
Mailing Address320 E North Ave Ste 401Pittsburgh, PA 15212-4756 · (412) 359-4352
Phone(412) 359-4352
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2017
Enumeration DateApril 30, 2017
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1366977175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in PA · MD480485
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
320 E NORTH AVE STE 401, Pittsburgh, PA 15212
Open in Google Maps ↗

Other Identifiers 1

Other16127341Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kishan Mark Thadikonda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951671940
PECOS Enrollment IDI20231212000030
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kishan Thadikonda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Surgery
320 E NORTH AVE
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1023018447 (412) 359-3336
Lancaster General Medical Group
179 mi
Family Medicine
99 MASONIC DR, SUITE 101
Elizabethtown, PA 17022
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1649517236 (717) 689-4243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 11

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

MARISSA JONOV PA-C
Physician Assistant
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
KYLA JEAN DWYER PA-C
Physician Assistant (Surgical)
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
OLUSEYI ALIU M.D.
Plastic Surgery
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
MS. SARAH E HALL PA-C
Physician Assistant (Surgical)
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
DR. MATTHEW KENNETH SHAHEEN M.D.
Plastic Surgery
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
SHANNON MARIE MASTERSON MPAS
Physician Assistant (Surgical)
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
MS. LEAH D KOVAL PA-C
Physician Assistant (Surgical)
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352
CARLY NICOLE SEDWICK PA-C
Physician Assistant
320 E NORTH AVE STE 401
PITTSBURGH, PA 15212
Allegheny County (412) 359-4352

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 Kishan Thadikonda's NPI number?

The NPI number for Kishan Thadikonda is 1366977175. It was assigned to this individual provider in the NPPES registry on April 30, 2017.

Where is Kishan Thadikonda located?

Kishan Thadikonda practices at 320 E North Ave Ste 401, Pittsburgh, PA 15212. The listed phone number is (412) 359-4352.

What is Kishan Thadikonda's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kishan Thadikonda enrolled in Medicare?

Yes. Kishan Thadikonda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kishan Thadikonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kishan Thadikonda reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Pittsburgh, PA) and Lancaster General Medical Group (Elizabethtown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kishan Thadikonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kishan Thadikonda affiliated with any hospitals?

According to CMS data, Kishan Thadikonda is affiliated with Allegheny General Hospital, West Penn Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Kishan Thadikonda was last updated on August 1, 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.