DR. DILEEP R KONDUR DMD, MS
NPI 1477059145
Dentist - Periodontics in Augusta, GA

Active since April 02, 2018PECOS Enrolled
231 DAVIS RD, AUGUSTA, GA 30907(706) 863-4212(706) 863-0087 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Sep 24, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Dileep R Kondur Dmd, Ms NPPES

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

DR. DILEEP R KONDUR DMD, MS (NPI 1477059145) is an individual periodontics provider in Augusta, Georgia, licensed in Georgia (DN015814) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1477059145
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DILEEP R KONDURCredential: DMD, MS
Location Address231 DAVIS RDAugusta, GA 30907-2407
Mailing Address231 Davis RdAugusta, GA 30907-2407 · (706) 863-4212
Fax(706) 863-0087
Sole ProprietorYes
Enumeration DateApril 2, 2018
Last NPPES UpdateDecember 3, 20244 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
NPI 1477059145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in GA · DN015814
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 ListedDentistTaxonomy 122300000X · License DRPM2050 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DN015814 (GA)
231 DAVIS RD, Augusta, GA 30907

Secondary Practice Location 1

Location 11395 Center Dr Rm D10-6Gainesville, FL 32610-3631 · Phone (706) 513-7708

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. Dileep R Kondur Dmd, Ms 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 30907 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Dentist (Periodontics)
231 DAVIS RD
AUGUSTA, GA 30907

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 Dileep Kondur's NPI number?

The NPI number for Dileep Kondur is 1477059145. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Dileep Kondur located?

Dileep Kondur practices at 231 Davis Rd, Augusta, GA 30907. The listed phone number is (706) 863-4212.

What is Dileep Kondur's specialty?

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

Is Dileep Kondur enrolled in Medicare?

Yes. Dileep Kondur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dileep Kondur was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.