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

Q: 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.

Q: What is Kishan Thadikonda's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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Other Identifiers 1

Other16127341Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 12

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

MARISSA JONOV PA-C

Physician Assistant