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JESSICA SATHISSARAT
NPI 1427357904
Dentist - Periodontics in Wright-patterson Afb, OH

Active since March 23, 2011PECOS Enrolled
88 MDG/SGHJ, 4881 SUGAR MAPLE DR. BLDG 830, WRIGHT-PATTERSON AFB, OH 45433(937) 257-0500 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sathissarat NPPES

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

JESSICA SATHISSARAT (NPI 1427357904) is an individual periodontics provider in Wright-patterson Afb, Ohio, licensed in Illinois (019.028641) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427357904
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJESSICA SATHISSARAT
Location Address88 MDG/SGHJ, 4881 SUGAR MAPLE DR. BLDG 830Wright-patterson Afb, OH 45433-5529
Mailing Address13555 Golden Meadow DrPlainfield, IL 60544-9671
Phone(937) 257-0500
Sole ProprietorYes
Enumeration DateMarch 23, 2011
Last NPPES UpdateJuly 6, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1427357904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 019.028641
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
88 MDG/SGHJ, Wright-patterson Afb, OH 45433
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Sathissarat 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 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

KELSEY WILSON DO
Internal Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9926
GREGORY MICHAEL BUCHEK MD
Internal Medicine (Infectious Disease)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-0956
DR. REID VERNON MD
Emergency Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH, OH 45433
Greene County (937) 656-3172
ISAAC BITTER PHYSICAL THERAPIST
Physical Therapist
88 MDG/SGHJ, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, AA 45433
Greene County (937) 257-8753
ERIC WINTHROP BARNES DO
Internal Medicine (Nephrology)
88 MDG/SGHJ, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-2432
JOSEPH KLUESNER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-6529
CHRISTOPHER MAKOTO TSUEDA M.D.
Family Medicine
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 268-6511
DR. MARY THERESE BRUEGGEMEYER M.D.
Preventive Medicine (Aerospace Medicine)
88 MDG/SGHJ, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-1558

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 Jessica Sathissarat's NPI number?

The NPI number for Jessica Sathissarat is 1427357904. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Jessica Sathissarat located?

Jessica Sathissarat practices at 88 Mdg/Sghj 4881 Sugar Maple Dr. Bldg 830, Wright-Patterson Afb, OH 45433. The listed phone number is (937) 257-0500.

What is Jessica Sathissarat's specialty?

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

Is Jessica Sathissarat enrolled in Medicare?

Yes. Jessica Sathissarat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Sathissarat was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.