SRIVIDYA PRABHU DMD
NPI 1477033371
Dentist - Periodontics in Cold Spring, KY

Q: What is Srividya Prabhu's NPI number?

The NPI number for Srividya Prabhu is 1477033371. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Srividya Prabhu's specialty?

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

Q: Is Srividya Prabhu enrolled in Medicare?

No. Srividya Prabhu has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Srividya Prabhu was last updated on March 1, 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.

Active since August 20, 2018Opted out of Medicare · through Mar 23, 2028

201 MARTHA LAYNE COLLINS BLVD STE B, COLD SPRING, KY 41076(859) 441-4805 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Aug 20, 2018 (2 updates tracked since 2018).

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About Srividya Prabhu Dmd NPPES

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

SRIVIDYA PRABHU DMD (NPI 1477033371) is an individual periodontics provider in Cold Spring, Kentucky, licensed in Kentucky (10726) and active in the NPI registry since August 2018. She has opted out of Medicare through March 23, 2028.

NPPES Registry Identity

NPI1477033371

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameSRIVIDYA PRABHUCredential: DMD

Location Address201 MARTHA LAYNE COLLINS BLVD STE BCold Spring, KY 41076-1750

Mailing Address201 Martha Layne Collins Blvd Ste BCold Spring, KY 41076-1750 · (309) 912-8794

Phone(859) 441-4805

Sole ProprietorNo

Enumeration DateAugust 20, 2018

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1477033371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in KY · 10726

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.

201 MARTHA LAYNE COLLINS BLVD STE B, Cold Spring, KY 41076

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Srividya Prabhu Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2022 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2022

Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41076 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

SOUTHERN ROOTS PERIO HIGHLAND HEIGHTS

Clinic/Center (Dental)

201 MARTHA LAYNE COLLINS BLVD STE B
COLD SPRING, KY 41076

Campbell County (859) 441-4805

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 Srividya Prabhu's NPI number?

The NPI number for Srividya Prabhu is 1477033371. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Srividya Prabhu located?

Srividya Prabhu practices at 201 Martha Layne Collins Blvd Ste B, Cold Spring, KY 41076. The listed phone number is (859) 441-4805.

What is Srividya Prabhu's specialty?

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

Is Srividya Prabhu enrolled in Medicare?

No. Srividya Prabhu has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Srividya Prabhu was last updated on March 1, 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.