DR. SUMAN KISHORE KONDRAGUNTA DDS
NPI 1447538400
Dentist in Austin, TX

Active since July 25, 2011PECOS Enrolled
2400 E OLTORF ST # 100B, AUSTIN, TX 78741(512) 822-7275 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Suman Kishore Kondragunta Dds NPPES

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

DR. SUMAN KISHORE KONDRAGUNTA DDS (NPI 1447538400) is an individual dentist in Austin, Texas, licensed in Texas (TX28527) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447538400
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SUMAN KISHORE KONDRAGUNTACredential: DDS
Location Address2400 E OLTORF ST # 100BAustin, TX 78741-4563
Mailing Address4215 Franklin AveWaco, TX 76710-2529 · (346) 201-5656
Sole ProprietorYes
Enumeration DateJuly 25, 2011
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1447538400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · TX28527
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD3548 (NM)
2400 E OLTORF ST # 100B, Austin, TX 78741

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)

Dr. Suman Kishore Kondragunta 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 78741 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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 Suman Kondragunta's NPI number?

The NPI number for Suman Kondragunta is 1447538400. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Suman Kondragunta located?

Suman Kondragunta practices at 2400 E Oltorf St # 100B, Austin, TX 78741. The listed phone number is (512) 822-7275.

What is Suman Kondragunta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Suman Kondragunta enrolled in Medicare?

Yes. Suman Kondragunta is registered in the Medicare PECOS enrollment system.

What insurance does Suman Kondragunta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Suman Kondragunta 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 Suman Kondragunta was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.